Individual provider Active NPI

Courtney Kirby, MSW, LSW

  • Social Worker
  • Dayton, OH
National Provider Identifier
1285178939
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S. 1601209 Issued in OH
Practice address
1129 Miamisburg Centerville Rd
Suite 201
Dayton, OH 45449-4004
Phone
(937) 866-4021
Fax
(937) 866-4058
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S. 1601209 OH Primary

Addresses

Primary practice location

1129 Miamisburg Centerville Rd
Suite 201
Dayton, OH 45449-4004

Mailing address

1129 Miamisburg Centerville Rd
Suite 201
Dayton, OH 45449-4004
Phone (937) 866-4021

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S. 1601209OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1285178939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454494004",
            "telephone_number": "937-866-4021",
            "fax_number": "937-866-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454494004",
            "telephone_number": "937-866-4021",
            "fax_number": "937-866-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "COURTNEY",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S. 1601209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.