Active NPI
Allyson Eads
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1356898332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901719-SUPV
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S1201191 | OH | MD | Social Worker |
| I.1901719-SUPV | OH | MD | Clinical Social Worker |
Interoperability endpoints
- 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.