Emily J Fumarola, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2002203 Issued in OH

Practice address

10921 Reed Hartman Hwy Ste 133
Blue Ash, OH 45242-2851

Phone

(513) 984-9838

NPI assigned

Aug 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 15, 2024 through Mar 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Emily Fumarola Wellness & Counseling LLC

  • Clinical Social Worker
  • Blanchester, OH
  • NPI 1982474953
  NPD Authorized official

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1407300916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S STATE ROUTE 133",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451078483",
            "telephone_number": "937-728-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY STE 133",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422851",
            "telephone_number": "513-984-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUMAROLA",
        "first_name": "EMILY",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600556",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee E Frisbie, MOT, OTR/L
• Angela Fritts, LSW
• Caroline Frances Fritz
• Maki Fukunishi, FNP-C
• Full of Life Therapy LLC
• Autumn Furey
• Shana Gadomski
• Khadijah Gaines
• Puja Gaitonde
• Melvin S Gale, M.D.

• Clinical Social Worker in Blue Ash, OH
• Providers in Blue Ash, 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 Nov 17, 2022; 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.