Individual provider Active NPI

Kelsey Bastin Snavely, LCSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1306137112
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700019 Issued in OH
Practice address
1500 E 17TH Ave
Columbus, OH 43219-1002
Phone
(614) 645-2700
Fax
(614) 645-2727
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 I.1700019 OH Primary

Addresses

Primary practice location

1500 E 17TH Ave
Columbus, OH 43219-1002

Mailing address

4625 Morse Rd
Ste 200
Gahanna, OH 43230-8355
Phone (614) 383-8381

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
I20170718001912 OH Practitioner - Clinical Social Worker 8022312925 Reassigns benefits to 1 organization
Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Columbus Womens Wellness LLCGroup PAC ID 1254608433, 22 clinicians

Practice addresses (Care Compare)

4625 Morse Rd
Suite 200
Gahanna, OH 43230-8355
Phone (614) 383-8381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey Snavely, LLC Current Accepting new patients
Columbus Women'S Wellness, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

4625 Morse Rd
Ste 200
Gahanna, OH 43230
Phone (614) 383-8381

1460 Manning Pkwy
Powell, OH 43065
Phone (614) 383-8381

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1306137112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 MORSE RD",
            "address_2": "STE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308355",
            "telephone_number": "614-383-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 17TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191002",
            "telephone_number": "614-645-2700",
            "fax_number": "614-645-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNAVELY",
        "first_name": "KELSEY",
        "middle_name": "BASTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.