Organization Active NPI

Life Expressions

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1265798706
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0003841 Issued in OH
Legal business name
LIFE EXPRESSIONS
Practice address
10274 Alliance Rd
Blue Ash, OH 45242-4710
Phone
(513) 631-8900
Fax
(513) 891-9994
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Ms. Carol J. Brady, LISWNPI 1790853448
Title
President
Phone
(513) 631-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I-0003841 OH Primary

Addresses

Primary practice location

10274 Alliance Rd
Blue Ash, OH 45242-4710

Mailing address

10274 Alliance Rd,
Cincinnati, OH 45242-4710
Phone (513) 631-8900

National Provider Directory

National Provider Directory

Locations

10274 Alliance Rd
Blue Ash, OH 45242
Phone (513) 891-3093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1265798706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10274 ALLIANCE RD,",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424710",
            "telephone_number": "513-631-8900",
            "fax_number": "513-891-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10274 ALLIANCE RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424710",
            "telephone_number": "513-631-8900",
            "fax_number": "513-891-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE EXPRESSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-631-8900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0003841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.