The Trauma Masterminds

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0028045 Issued in OH

Legal business name

THE TRAUMA MASTERMINDS

Practice address

660 Hill Rd N
Pickerington, OH 43147-9201

Phone

(614) 604-3475

Fax

(206) 338-2103

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Christina M Minoguchi, LISW-SNPI 1194859736

Title

Therapist

Phone

(614) 604-3475

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina M Minoguchi, LISW-S, MSW

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1194859736
  Authorized official Same address or phone

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1396221735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479201",
            "telephone_number": "614-604-3475",
            "fax_number": "206-338-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479201",
            "telephone_number": "614-604-3475",
            "fax_number": "206-338-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAUMA MASTERMINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "MINOGUCHI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "614-604-3475",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0028045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Pickerington, OH
• Providers in Pickerington, 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 18, 2018; 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.