NPIMap

Organization Active NPI

Woodlands, Serving Central Ohio Inc.

  • Clinical Social Worker
  • Newark, OH
National Provider Identifier
1376607374
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WOODLANDS, SERVING CENTRAL OHIO INC.
Practice address
195 Union St
Suite B-1
Newark, OH 43055-3919
Phone
(740) 349-7066
Fax
(740) 345-6028
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Mrs. Tricia Hufford, LSW
Title
Executive Director
Phone
(740) 349-7066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X OH Primary

Addresses

Primary practice location

195 Union St
Suite B-1
Newark, OH 43055-3919

Mailing address

195 Union St
Suite B-1
Newark, OH 43055-3919
Phone (740) 349-7066

Other identifiers 1

IdentifierTypeStateIssuer
10193MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000055 OH Part B Supplier - Clinic/Group Practice 4183519481 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1376607374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 UNION ST",
            "address_2": "SUITE B-1",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553919",
            "telephone_number": "740-349-7066",
            "fax_number": "740-345-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 UNION ST",
            "address_2": "SUITE B-1",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553919",
            "telephone_number": "740-349-7066",
            "fax_number": "740-345-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS, SERVING CENTRAL OHIO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "HUFFORD",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-349-7066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10193",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.