Individual provider Active NPI

Tamara Frye, LISW

  • Clinical Social Worker
  • Newark, OH
National Provider Identifier
1417387689
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1800818 Issued in OH
Practice address
195 Union St
Suite B-1
Newark, OH 43055-3919
Phone
(740) 349-7066
NPI assigned
Nov 25, 2013
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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.1800818 OH Primary

Addresses

Primary practice location

195 Union St
Suite B-1
Newark, OH 43055-3919

Mailing address

195 Union St
Suite B-1
Newark, OH 43055-3919
Phone (740) 349-7066

Other identifiers 1

IdentifierTypeStateIssuer
I.1800818OtherOHLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180309001019 OH Practitioner - Clinical Social Worker 3971864802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

195 Union St
Suite B1
Newark, OH 43055-3998
Phone (740) 349-7066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands, Serving Central Ohio Inc. Clinical CurrentSince Feb 9, 2018 Accepting new patients
Equitas Health, Inc PastSince Feb 9, 2018 Accepting new patients

Locations

195 Union St
Ste B1
Newark, OH 43055
Phone (740) 281-5210

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1417387689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 UNION ST",
            "address_2": "SUITE B-1",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553919",
            "telephone_number": "740-349-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 UNION ST",
            "address_2": "SUITE B-1",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553919",
            "telephone_number": "740-349-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "TAMARA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "I.1800818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.