Active NPI
Tina L Workman
- Case Manager/Care Coordinator
- Salem, OH
National Provider Identifier
1316508971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 12616 Sharon Lynn Dr
Salem, OH 44460-9134 - Phone
- (330) 337-7732
- NPI assigned
- Jun 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA170186 | OH | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
12616 Sharon Lynn Dr
Salem, OH 44460-9134
Mailing address
2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232
Other practice location 1
200 E State St Fl 3
Alliance, OH 44601-4936
Phone (330) 821-8503
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA170186 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commquest Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1841550696
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1316508971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-264-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12616 SHARON LYNN DR",
"city": "SALEM",
"state": "OH",
"postal_code": "444609134",
"telephone_number": "330-337-7732"
}
],
"practiceLocations": [
{
"address_1": "200 E State St Fl 3",
"address_purpose": "LOCATION",
"city": "Alliance",
"state": "OH",
"postal_code": "446014936",
"country_code": "US",
"telephone_number": "330-821-8503",
"fax_number": "330-627-0088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORKMAN",
"first_name": "TINA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA170186",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.