Individual provider Active NPI

John D Walsh, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1356587091
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0009472 Issued in OH
Practice address
8040 Hosbrook Rd Ste 320
Cincinnati, OH 45236-2908
Phone
(513) 861-9797
Fax
(513) 861-3510
NPI assigned
Dec 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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 0009472 OH Primary

Addresses

Primary practice location

8040 Hosbrook Rd Ste 320
Cincinnati, OH 45236-2908

Mailing address

8040 Hosbrook Rd Ste 320
Cincinnati, OH 45236-2908
Phone (513) 861-9797

Other practice location 1

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300

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
I20141114000964 OH Practitioner - Clinical Social Worker 0345462909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Lifeway Counseling Centers IncGroup PAC ID 8729036033, 12 clinicians

Practice addresses (Care Compare)

11161 Kenwood Rd
Blue Ash, OH 45242-1817
Phone (513) 769-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009472OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Counseling Centers, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Dahar & Associates, Inc. Clinical Past Accepting new patients

Locations

11161 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 769-4600

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": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1356587091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362908",
            "telephone_number": "513-861-9797",
            "fax_number": "513-861-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362908",
            "telephone_number": "513-861-9797",
            "fax_number": "513-861-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Nilles Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450147205",
            "country_code": "US",
            "telephone_number": "513-939-0300",
            "fax_number": "513-939-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0009472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.