Active NPI
Thomas R Standish, MSW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1417258377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0004638
- Practice address
- 825 Grandview Ave
Columbus, OH 43215-1123 - Phone
- (614) 361-6941
- Fax
- (614) 258-5719
- NPI assigned
- Nov 9, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0004638 | OH | Primary |
Addresses
Primary practice location
825 Grandview Ave
Columbus, OH 43215-1123
Mailing address
825 Grandview Ave
Columbus, OH 43215-1123
Phone (614) 361-6941
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0004638 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1417258377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 GRANDVIEW AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151123",
"telephone_number": "614-361-6941",
"fax_number": "614-258-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 GRANDVIEW AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151123",
"telephone_number": "614-361-6941",
"fax_number": "614-258-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDISH",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0004638",
"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 Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.