Individual provider Active NPI

Michelle Dionne Risser, LISW-S

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1316181431
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0700128 Issued in OH
Practice address
37 E Wilson Bridge Rd
Suite 250
Worthington, OH 43085-2354
Phone
(614) 559-1977
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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 0700128 OH Primary

Addresses

Primary practice location

37 E Wilson Bridge Rd
Suite 250
Worthington, OH 43085-2354

Mailing address

37 E Wilson Bridge Rd
Suite 250
Worthington, OH 43085-2354
Phone (614) 559-1977

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
I20120920000358 OH Practitioner - Clinical Social Worker 1850549650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2183 Otter Lane
Dublin, OH 43016-9067

2183 Otter LN
Dublin, OH 43016-9067

2939 Kenny Rd
Suite 201
Columbus, OH 43221-2478
Phone (614) 559-1977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0700128OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Risser Lisw, Inc Clinical CurrentSince Jan 10, 2015 Accepting new patients
Equitas Health,Inc Past Accepting new patients

Locations

2939 Kenny Rd
Ste 201
Columbus, OH 43221
Phone (614) 559-1977

37 E Wilson Bridge Rd
Ste 250
Worthington, OH 43085
Phone (614) 341-7090

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1316181431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E WILSON BRIDGE RD",
            "address_2": "SUITE 250",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852354",
            "telephone_number": "614-559-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E WILSON BRIDGE RD",
            "address_2": "SUITE 250",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852354",
            "telephone_number": "614-559-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISSER",
        "first_name": "MICHELLE",
        "middle_name": "DIONNE",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0700128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.