Active NPI
Joclyn Cabanas
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1396385100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2405271
- Practice address
- 1515 Indianola Ave
Columbus, OH 43201-2118 - Phone
- (614) 294-2661
- Fax
- (614) 294-3247
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- 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 | I.2405271 | OH | Primary |
Addresses
Primary practice location
1515 Indianola Ave
Columbus, OH 43201-2118
Mailing address
245 E 13TH Ave Apt B6
Columbus, OH 43201-1990
Phone (740) 341-3433
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8740 Orion PL
Suite 100
Columbus, OH 43240-4063
Phone (614) 902-2611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2405271 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Center for Behavioral Health LLC | Current | Accepting new patients | |
| Amigos on the Spectrum | Current | Accepting new patients | |
| Directions for Youth & Families, Inc. | Past | Accepting new patients | |
| Directions for Youth & Families, Inc | Past | Accepting new patients |
Locations
8740 Orion Pl
Ste 100
Columbus, OH 43240
Phone (614) 515-4934
Organizations & group practices 4
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.
-
- Intellectual & Developmental Disabilities Psychologist
- Columbus, OH
- NPI 1083432280
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1710785670
-
- Adolescent and Children Mental Health Clinic/Center
- Columbus, OH
- NPI 1811949209
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
- NPI 1518224799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1396385100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 E 13TH AVE APT B6",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432011990",
"telephone_number": "740-341-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 INDIANOLA AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012118",
"telephone_number": "614-294-2661",
"fax_number": "614-294-3247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABANAS",
"first_name": "JOCLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2405271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.