Individual provider Active NPI

Sunnie Leigh Lumpkin, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1184149643
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002227 Issued in OH
Practice address
415 Reily Rd
Cincinnati, OH 45215-2623
Phone
(513) 407-1190
Fax
(513) 672-1007
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1200504 OH
Clinical Social Worker 1041C0700X I.2002227 OH Primary

Addresses

Primary practice location

415 Reily Rd
Cincinnati, OH 45215-2623

Mailing address

415 Reily Rd
Cincinnati, OH 45215-2623
Phone (513) 407-1190

Other identifiers 1

IdentifierTypeStateIssuer
I.2002227OtherOHBOARD CERTIFICATION FOR INDEPENDENT LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819004166 OH Practitioner - Clinical Social Worker 1456777549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1200504OHMDSocial Worker
I.2002227OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Dec 17, 2025 Accepting new patients
Greater Cincinnati Behavioral Health Services Past Accepting new patients

Locations

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1184149643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 REILY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152623",
            "telephone_number": "513-407-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 REILY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152623",
            "telephone_number": "513-407-1190",
            "fax_number": "513-672-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMPKIN",
        "first_name": "SUNNIE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1200504",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION FOR INDEPENDENT LICENSURE",
            "identifier": "I.2002227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.