Active NPI
Lucretia K Van Niel, LISW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1275681827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0005897
- Practice address
- 1251 W Broad St
Columbus, OH 43222-1359 - Phone
- (614) 274-1455
- Fax
- (614) 274-1433
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0005897 | OH | Primary |
Addresses
Primary practice location
1251 W Broad St
Columbus, OH 43222-1359
Mailing address
PO Box 23984
Columbus, OH 43223-0984
Phone (614) 274-1455
Other practice location 1
10 N Main St
Munroe Falls, OH 44262-1063
Phone (330) 475-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0213421 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0005897 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apexmeds | Past | Accepting new patients | |
| Cedar Ridge Behavioral Health Solutions | Past | Accepting new patients | |
| Aware Resources, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Registered Nurse
- Columbus, OH
- NPI 1184095044
-
- Clinical Psychologist
- Munroe Falls, OH
- NPI 1518070630
-
- Community/Behavioral Health Agency
- Cambridge, OH
- NPI 1447769666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275681827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23984",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432230984",
"telephone_number": "614-274-1455",
"fax_number": "614-274-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221359",
"telephone_number": "614-274-1455",
"fax_number": "614-274-1433"
}
],
"practiceLocations": [
{
"address_1": "10 N Main St",
"address_purpose": "LOCATION",
"city": "Munroe Falls",
"state": "OH",
"postal_code": "442621063",
"country_code": "US",
"telephone_number": "330-475-0060",
"fax_number": "330-475-0066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN NIEL",
"first_name": "LUCRETIA",
"middle_name": "K",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "0005897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0213421",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.