Richard John Fetter, LISWS MBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0002344 Issued in OH

Practice address

3244 Henderson Rd Ste 2
Columbus, OH 43220-7300

Phone

(614) 451-0176

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

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.

• Central Ohio Counseling Inc.

  • Clinical Social Worker
  • Worthington, OH
  • NPI 1922031988
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1437281284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207300",
            "telephone_number": "614-451-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 HENDERSON RD STE 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207300",
            "telephone_number": "614-451-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTER",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LISWS MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0002344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Fete, PHARMD
• Laura Fetherolf
• C. Nicholas Fetko, M.D.
• Mark Fetko, MD
• Ruby Lee Fett, FNP-C
• Victoria Marie Fetterman
• Jill R Fetzer
• Kristy Fetzer
• Lindsay Renee Feucht, PA-C
• Feynuus Home Care LLC

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, 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 9, 2020; 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.