Active NPI
Robert Guthman, LSW
- Clinical Social Worker
- Lebanon, OH
National Provider Identifier
1366468886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S-23698
- Practice address
- 204 Cook Rd
Lebanon, OH 45036-9600 - Phone
- (513) 695-1357
- Fax
- (513) 695-2952
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S-23698 | OH | Primary |
Addresses
Primary practice location
204 Cook Rd
Lebanon, OH 45036-9600
Mailing address
107 Oregonia Rd
2ND Floor
Lebanon, OH 45036-3903
Phone (513) 695-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000343843 | Other | OH | ANTHEM PIN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S-23698 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366468886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 OREGONIA RD",
"address_2": "2ND FLOOR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450363903",
"telephone_number": "513-695-2411",
"fax_number": "513-695-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 COOK RD",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369600",
"telephone_number": "513-695-1357",
"fax_number": "513-695-2952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHMAN",
"first_name": "ROBERT",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S-23698",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000343843",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.