Active NPI
Faduma Ahmed, LSW, CDCA
- Social Worker
- Whitehall, OH
National Provider Identifier
1194492819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2208392
- Practice address
- 4653 E Main St
Whitehall, OH 43213-3298 - Phone
- (614) 384-7703
- Fax
- (614) 384-7703
- NPI assigned
- Aug 30, 2021
- Last updated
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA181201 | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Community Health Worker | 172V00000X | OH | ||
| Social Worker | 104100000X | S.2208392 | OH | Primary |
Addresses
Primary practice location
4653 E Main St
Whitehall, OH 43213-3298
Mailing address
4653 E Main St
Whitehall, OH 43213-3298
Phone (614) 384-7703
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | fadumaahmed@edencounselingcenters.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA181201 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2208392 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1194492819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4653 E MAIN ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133298",
"telephone_number": "614-384-7703",
"fax_number": "614-384-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4653 E MAIN ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133298",
"telephone_number": "614-384-7703",
"fax_number": "614-384-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "FADUMA",
"credential": "LSW, CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA181201",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2208392",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "fadumaahmed@edencounselingcenters.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work email",
"address_1": "360 S Grant Ave",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432155537",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.