Colleen Tootell, MSW ACSW BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0002185 Issued in OH

Practice address

660 High St
Suite 200
Worthington, OH 43085-4153

Phone

(614) 888-3433

Fax

(614) 431-1300

NPI assigned

Jul 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386674398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 HIGH ST",
            "address_2": "SUITE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854153",
            "telephone_number": "614-888-3433",
            "fax_number": "614-431-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 HIGH ST",
            "address_2": "SUITE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854153",
            "telephone_number": "614-888-3433",
            "fax_number": "614-431-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTELL",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "MSW ACSW BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0002185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Worthington, OH
• Providers in Worthington, OH by specialty
• Clinical Social Worker in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.