Nicole Vutha, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4725 Parkwick Dr Ste 100
Columbus, OH 43228-6401

Phone

(614) 655-3354

Fax

(614) 317-4692

NPI assigned

May 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Nicole K Laurie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Access Behavioral LLC

  • Multi-Specialty Clinic/Center
  • Columbus, OH
  • NPI 1629687157
  NPD
• Access Ohio, LLC

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD (past)

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1265054316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CRANFORD RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211252",
            "telephone_number": "614-307-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 PARKWICK DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286401",
            "telephone_number": "614-655-3354",
            "fax_number": "614-317-4692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 E Dublin Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430853192",
            "country_code": "US",
            "telephone_number": "614-844-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3070 Riverside Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432212547",
            "country_code": "US",
            "telephone_number": "614-372-5645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUTHA",
        "first_name": "NICOLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "S.2512354",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LAURIE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sundari Vudatala, PA-C
• Virgil Vulvara
• Shravani Vundavalli, M.D.
• Vivian Vuong
• Yen N. Vuong, MD
• Heema Vyas
• Gabriel Vydra, LMT
• Waamo Transportation L.L.C
• Wabi Home Healthcare LLC
• Alisa F Wabwire, LISW

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.