Individual provider Active NPI

Rose Marie Pryor, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1245281203
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0700269 Issued in OH
Practice address
3979 Dickson Ave
Cincinnati, OH 45229-1305
Phone
(513) 376-6455
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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 I0700269 OH Primary

Addresses

Primary practice location

3979 Dickson Ave
Cincinnati, OH 45229-1305

Mailing address

3979 Dickson Ave
Cincinnati, OH 45229-1305
Phone (513) 376-6455

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
I20130214000287 OH Practitioner - Clinical Social Worker 4284644691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 Montana Ave
Suite 243
Cincinnati, OH 45211-3829
Phone (513) 823-3448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0700269OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Counseling Services Inc Current Accepting new patients
Neighborhood Allies CurrentSince Aug 1, 2024 Accepting new patients
Barbara Hanley PHD Clinical PastSince Jul 1, 2012 Accepting new patients

Locations

2300 Montana Ave
Ste 243
Cincinnati, OH 45211
Phone (513) 823-3448

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/neighborhoodallies513/r4/

Organizations & group practices 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1245281203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3979 DICKSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291305",
            "telephone_number": "513-376-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3979 DICKSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291305",
            "telephone_number": "513-376-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "ROSE MARIE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0700269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.