Individual provider Active NPI

Phyllis Dennis-Smith, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1306930060
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I. 0009902 Issued in OH
Practice address
200 McFarland St
Cincinnati, OH 45202-2615
Phone
(513) 354-5717
NPI assigned
Oct 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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. 0009902 OH Primary

Addresses

Primary practice location

200 McFarland St
Cincinnati, OH 45202-2615

Mailing address

2216 Maplewood Ave
Cincinnati, OH 45219-2912
Phone (513) 381-5379

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

LicenseStateTypeSpecialty
I. 0009902OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of the Cincinnati Area PastSince Nov 29, 2006 Accepting new patients
Family Service Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306930060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 MAPLEWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192912",
            "telephone_number": "513-381-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MCFARLAND ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452022615",
            "telephone_number": "513-354-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS-SMITH",
        "first_name": "PHYLLIS",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0009902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.