Individual provider Active NPI

Ann Sedlock Dalby, LISW-S

  • Clinical Social Worker
  • Powell, OH
National Provider Identifier
1437771938
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0005063 Issued in OH
Practice address
151 Beech Ridge Dr
Powell, OH 43065-9675
Phone
(614) 286-1697
NPI assigned
May 7, 2020
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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-0005063 OH Primary

Addresses

Primary practice location

151 Beech Ridge Dr
Powell, OH 43065-9675

Mailing address

151 Beech Ridge Dr
Powell, OH 43065-9675
Phone (614) 286-1697

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
I20210517002198 OH Practitioner - Clinical Social Worker 7618386954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone of Hope IncGroup PAC ID 4587063177, 7 clinicians

Practice addresses (Care Compare)

5905 Brecksville Rd
Independence, OH 44131-1517
Phone (216) 524-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0005063OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone of Hope Inc Clinical CurrentSince Mar 19, 2022 Accepting new patients

Locations

5905 Brecksville Rd
Independence, OH 44131
Phone (216) 524-4673

253 N State St
Ste 200
Westerville, OH 43081
Phone (614) 824-4285

Organizations & group practices 1

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1437771938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BEECH RIDGE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659675",
            "telephone_number": "614-286-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BEECH RIDGE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659675",
            "telephone_number": "614-286-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALBY",
        "first_name": "ANN",
        "middle_name": "SEDLOCK",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0005063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.