Individual provider Active NPI

Kristina M Bishop, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1376800995
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800341-SUPV Issued in OH
Practice address
4760 Madison Rd
Cincinnati, OH 45227-1426
Phone
(513) 321-8236
Fax
(513) 751-0180
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0800341-SUPV OH Primary

Addresses

Primary practice location

4760 Madison Rd
Cincinnati, OH 45227-1426

Mailing address

2600 Victory Pkwy
Cincinnati, OH 45206-1711
Phone (513) 751-7747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403000427 OH Practitioner - Clinical Social Worker 5496096331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0800341-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House CurrentSince Mar 2, 2019 Accepting new patients

Locations

4968 Glenway Ave
Cincinnati, OH 45238
Phone (513) 471-6000

2621 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 221-4673

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

4760 Madison Rd
Cincinnati, OH 45227
Phone (513) 321-8286

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1376800995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061711",
            "telephone_number": "513-751-7747",
            "fax_number": "513-751-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271426",
            "telephone_number": "513-321-8236",
            "fax_number": "513-751-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800341-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.