Individual provider Active NPI

Cybele J Elloian, LSW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1235436312
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1.1302989- SUPV Issued in OH
Practice address
8487 Ridge Rd
Cincinnati, OH 45236-1300
Phone
(513) 469-1188
Fax
(513) 766-3358
NPI assigned
Feb 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1.1302989- SUPV OH Primary

Addresses

Primary practice location

8487 Ridge Rd
Cincinnati, OH 45236-1300

Mailing address

8487 Ridge Rd
Cincinnati, OH 45236-1300
Phone (513) 469-1188

Other identifiers 1

IdentifierTypeStateIssuer
0268768MedicaidOH

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
I20160322002233 OH Practitioner - Clinical Social Worker 7911204730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of the Cincinnati AreaGroup PAC ID 5193764686, 5 clinicians

Practice addresses (Care Compare)

9395 Kenwood Rd
Suite 100
Blue Ash, OH 45242-6819
Phone (513) 469-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1.1302989- SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of the Cincinnati Area CurrentSince Feb 9, 2016 Accepting new patients
Jewish Family Service of the Cincinnati Area Clinical PastSince Mar 31, 2024 Accepting new patients

Locations

9395 Kenwood Rd
Ste 100
Blue Ash, OH 45242
Phone (513) 469-1188

8487 Ridge Rd
Cincinnati, OH 45236
Phone (513) 469-1188

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": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1235436312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8487 RIDGE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361300",
            "telephone_number": "513-469-1188",
            "fax_number": "513-766-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8487 RIDGE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361300",
            "telephone_number": "513-469-1188",
            "fax_number": "513-766-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLOIAN",
        "first_name": "CYBELE",
        "middle_name": "J",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1.1302989- SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.