Individual provider Active NPI

Seth Nieding, LISW

  • Clinical Social Worker
  • Avon Lake, OH
National Provider Identifier
1265518047
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0001380 Issued in OH
Practice address
223 Miller Rd
Avon Lake, OH 44012-1004
Phone
(440) 930-2002
Fax
(440) 930-2085
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I0001380 OH Primary

Addresses

Primary practice location

223 Miller Rd
Avon Lake, OH 44012-1004

Mailing address

223 Miller Rd
Avon Lake, OH 44012-1004
Phone (440) 930-2002

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
I20050204000468 OH Practitioner - Clinical Social Worker 4284684820 Practice locations: North Ridgeville, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8936 Riverwood Dr
North Ridgeville, OH 44039-6313

8936 Riverwood Dr a
North Ridgeville, OH 44039-6313
Phone (440) 748-1207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0001380OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265518047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MILLER RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121004",
            "telephone_number": "440-930-2002",
            "fax_number": "440-930-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MILLER RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121004",
            "telephone_number": "440-930-2002",
            "fax_number": "440-930-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDING",
        "first_name": "SETH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0001380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

Verify at the official NPI Registry.