Individual provider Active NPI

Sheldon Reisman, LISW-S

  • Clinical Social Worker
  • West Chester, OH
National Provider Identifier
1215346853
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7686 Cincinnati Dayton Rd Ste a
West Chester, OH 45069-3141
Phone
(513) 400-4613
NPI assigned
Aug 7, 2014
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X OH Primary

Addresses

Primary practice location

7686 Cincinnati Dayton Rd Ste a
West Chester, OH 45069-3141

Mailing address

6793 E Farm Acres Dr
Cincinnati, OH 45237-3613
Phone (513) 400-4613

Other practice location 1

4790 Reb Bank Rd
Suite 126
Cincinnati, OH 45227
Phone (513) 400-4613

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www,therapycincinnati.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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Cincinnati LLC Clinical Current Accepting new patients
Therapy Cincinnati LLC Clinical Current Accepting new patients
Complete Counseling LLC CurrentSince Aug 6, 2019 Accepting new patients

Locations

7686 Cincinnati Dayton Rd
Ste A
West Chester, OH 45069
Phone (513) 400-4613

Interoperability endpoints

  • Direct secure messaging: pbc.sheldonreisman@140097.advancedmd-direct.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1215346853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6793 E FARM ACRES DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373613",
            "telephone_number": "513-400-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7686 CINCINNATI DAYTON RD STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693141",
            "telephone_number": "513-400-4613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4790 Reb Bank Rd",
            "address_2": "Suite 126",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45227",
            "country_code": "US",
            "telephone_number": "513-400-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "SHELDON",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www,therapycincinnati.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "7686 Cincinnati Dayton Rd Ste A",
            "city": "West Chester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450693141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.