Individual provider Active NPI

Mason R Tilford-Mabry, LSW

  • Social Worker
  • Columbus, OH
National Provider Identifier
1366061277
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106113 Issued in OH
Practice address
750 E Long St Ste 3000
Columbus, OH 43203-1874
Phone
(614) 340-6700
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2106113 OH Primary

Addresses

Primary practice location

750 E Long St Ste 3000
Columbus, OH 43203-1874

Mailing address

4400 N High St Ste 300
Columbus, OH 43214-2635
Phone (614) 299-2437

Other practice location 1

4400 N High St Ste 300
Columbus, OH 43214-2635
Phone (614) 299-2437 ext. 4121

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

LicenseStateTypeSpecialty
S.2106113OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1366061277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N HIGH ST STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142635",
            "telephone_number": "614-299-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LONG ST STE 3000",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031874",
            "telephone_number": "614-340-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 N High St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432142635",
            "country_code": "US",
            "telephone_number": "614-299-2437 x4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILFORD-MABRY",
        "first_name": "MASON",
        "middle_name": "R",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106113",
            "primary": true
        }
    ],
    "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 May 21, 2021; 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.