Individual provider Active NPI

Mary F Signorelli, MSW, LISW

  • Clinical Social Worker
  • Amelia, OH
National Provider Identifier
1245401496
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1200971 Issued in OH
Practice address
43 E Main St
Amelia, OH 45102-1993
Phone
(513) 354-5689
NPI assigned
Mar 17, 2008
Last updated
Feb 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X I1200971 OH Primary

Addresses

Primary practice location

43 E Main St
Amelia, OH 45102-1993

Mailing address

806 Oaks Dr
Cincinnati, OH 45245-1836
Phone (513) 943-4220

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

State licenses

LicenseStateTypeSpecialty
I1200971OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
M Signorelli and Associates Inc CurrentSince Jun 18, 2023 Accepting new patients

Locations

778 Old State Route 74
Cincinnati, OH 45245
Phone (513) 449-7574

Organizations & group practices 1

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1245401496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 OAKS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451836",
            "telephone_number": "513-943-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021993",
            "telephone_number": "513-354-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNORELLI",
        "first_name": "MARY",
        "middle_name": "F",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1200971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.