Individual provider Active NPI

Leigh Ann Komlosi, LISW

  • Clinical Social Worker
  • Dublin, OH
National Provider Identifier
1407110786
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I. 0007894 Issued in OH
Practice address
545 Metro PL S Ste 100
Dublin, OH 43017-5353
Phone
(614) 664-3595
Fax
(614) 664-3595
NPI assigned
Jul 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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. 0007894 OH Primary

Addresses

Primary practice location

545 Metro PL S Ste 100
Dublin, OH 43017-5353

Mailing address

545 Metro PL S Ste 100
Dublin, OH 43017-5353
Phone (614) 664-3595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I. 0007894OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341100800000",
    "number": "1407110786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 METRO PL S STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175353",
            "telephone_number": "614-664-3595",
            "fax_number": "614-664-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 METRO PL S STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175353",
            "telephone_number": "614-664-3595",
            "fax_number": "614-664-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMLOSI",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0007894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; 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.