Active NPI
Ivye Marie Gardner, MSW,LSW
- Social Worker
- Cincinnati, OH
National Provider Identifier
1407287899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0801013
- Practice address
- 2534 Victory Pkwy
Cincinnati, OH 45206-2004 - Phone
- (513) 684-7968
- Fax
- (513) 684-7963
- NPI assigned
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0801013 | OH | Primary |
Addresses
Primary practice location
2534 Victory Pkwy
Cincinnati, OH 45206-2004
Mailing address
2534 Victory Pkwy
Cincinnati, OH 45206-2004
Phone (513) 684-7968
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.0801013 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reposition & Recovery Services, LLC | Current | Accepting new patients | |
| Honor With Class | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1487008587
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1669161873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1407287899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2534 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452062004",
"telephone_number": "513-684-7968",
"fax_number": "513-684-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2534 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452062004",
"telephone_number": "513-684-7968",
"fax_number": "513-684-7963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "IVYE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSW,LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-10",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0801013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.