Individual provider Active NPI

Allyson Eads

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1356898332
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901719-SUPV Issued in OH
Practice address
620 E Broad St Ste 301
Columbus, OH 43215-4037
Phone
(904) 605-4986
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1901719-SUPV OH Primary
Social Worker 104100000X S1201191 OH

Addresses

Primary practice location

620 E Broad St Ste 301
Columbus, OH 43215-4037

Mailing address

620 E Broad St Ste 301
Columbus, OH 43215-4037
Phone (904) 605-4986

Other practice location 1

775 W Broad St Ste 220
Columbus, OH 43222-1471
Phone (904) 605-4986

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
S1201191OHMDSocial Worker
I.1901719-SUPVOHMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: allyson.eads.p17@direct.columbuspublichealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1356898332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E BROAD ST STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154037",
            "telephone_number": "904-605-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E BROAD ST STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154037",
            "telephone_number": "904-605-4986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 W Broad St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221471",
            "country_code": "US",
            "telephone_number": "904-605-4986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EADS",
        "first_name": "ALLYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901719-SUPV",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1201191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.