Individual provider Active NPI

Maryellen Smolenski, LISWS

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1255673257
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0007781-SUPV Issued in OH
Practice address
5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone
(513) 741-3100
Fax
(513) 741-5686
NPI assigned
Mar 18, 2013
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 I.0007781-SUPV OH Primary

Addresses

Primary practice location

5400 Edalbert Dr
Cincinnati, OH 45239-7604

Mailing address

5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone (513) 741-3100

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
I20160906001558 OH Practitioner - Clinical Social Worker 7810283587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

10200 Alliance Rd
Suite 150
Blue Ash, OH 45242-4754
Phone (513) 975-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0007781-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

10200 Alliance Rd
Ste 150
Blue Ash, OH 45242
Phone (513) 563-0488

1060 Nimitzview Dr
Ste 100
Cincinnati, OH 45230
Phone (513) 232-3070

1077 State Route 28
Ste 202
Milford, OH 45150

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

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": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1255673257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 EDALBERT DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397604",
            "telephone_number": "513-741-3100",
            "fax_number": "513-741-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 EDALBERT DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397604",
            "telephone_number": "513-741-3100",
            "fax_number": "513-741-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLENSKI",
        "first_name": "MARYELLEN",
        "credential": "LISWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0007781-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.