Individual provider Active NPI

Tina Marie Cadavid, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1336370469
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1000048-SUPV Issued in OH
Practice address
822 Delta Ave
Cincinnati, OH 45226-1256
Phone
(513) 460-9533
NPI assigned
Aug 6, 2009
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X I.1000048-SUPV OH Primary

Addresses

Primary practice location

822 Delta Ave
Cincinnati, OH 45226-1256

Mailing address

5322 Panther CT
Cincinnati, OH 45238-4200
Phone (513) 460-9533

Other practice location 1

7162 Reading Rd
Suite 300
Cincinnati, OH 45237-3838
Phone (513) 924-2715

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
I20201209001537 OH Practitioner - Clinical Social Worker 5799197133 Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

822 Delta Ave
Suite 1
Cincinnati, OH 45226-1256
Phone (513) 460-9533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Therapeutic Practices, LLC CurrentSince Sep 20, 2020 Accepting new patients
Camelot Community Care, Inc PastSince Jul 20, 2021 Accepting new patients
Camelot Community Care, Inc. Social Worker PastSince Aug 1, 2021 Accepting new patients

Locations

822 Delta Ave
Ste 1
Cincinnati, OH 45226
Phone (513) 460-9533

Organizations & group practices 3

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1336370469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 PANTHER CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384200",
            "telephone_number": "513-460-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 DELTA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261256",
            "telephone_number": "513-460-9533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7162 Reading Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452373838",
            "country_code": "US",
            "telephone_number": "513-924-2715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADAVID",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000048-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.