Individual provider Active NPI

Tracy J Oyler, LISW

  • Clinical Social Worker
  • Newark, OH
National Provider Identifier
1447686167
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1600747 Issued in OH
Practice address
15 N 3Rd St
Ste 300
Newark, OH 43055-5550
Phone
(800) 533-9701
Fax
(740) 522-4263
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0027523 OH
Clinical Social Worker 1041C0700X I.1600747 OH Primary

Addresses

Primary practice location

15 N 3Rd St
Ste 300
Newark, OH 43055-5550

Mailing address

15 N 3Rd St
Ste 300
Newark, OH 43055-5550
Phone (800) 533-9701

Other identifiers 1

IdentifierTypeStateIssuer
0202607MedicaidOH

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
I20180724002172 OH Practitioner - Clinical Social Worker 1254606205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.0027523OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Jul 2, 2018 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jul 2, 2018 Accepting new patients

Locations

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

1801 Watermark Dr
Ste 200
Columbus, OH 43215

59 Grant St
Newark, OH 43055
Phone (740) 349-7511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1447686167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N 3RD ST",
            "address_2": "STE 300",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555550",
            "telephone_number": "800-533-9701",
            "fax_number": "740-522-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N 3RD ST",
            "address_2": "STE 300",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555550",
            "telephone_number": "800-533-9701",
            "fax_number": "740-522-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYLER",
        "first_name": "TRACY",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0027523",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.