Individual provider Active NPI

Sara Perrotta, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1447784715
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700000 Issued in OH
Practice address
398 S Grant Ave
Columbus, OH 43215-5549
Phone
(614) 224-2988
Fax
(614) 716-0902
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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.1700000 OH Primary

Addresses

Primary practice location

398 S Grant Ave
Columbus, OH 43215-5549

Mailing address

1576 Worthington Club Dr
Westerville, OH 43081-4621
Phone (614) 224-2988

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
I20171130002407 OH Practitioner - Clinical Social Worker 2163789033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1700000OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Ohio Family Health Centers Current Accepting new patients

Locations

3601 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 235-5555

2365 Innis Rd
Columbus, OH 43224
Phone (614) 235-5555

495 Cooper Rd
Ste 420
Westerville, OH 43081
Phone (614) 235-5555

882 S Hamilton Rd
Whitehall, OH 43213
Phone (614) 235-5555

5000 E Main St
Whitehall, OH 43213
Phone (614) 235-5555

675 S Yearling Rd
Ste 100
Whitehall, OH 43213
Phone (614) 235-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1447784715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 WORTHINGTON CLUB DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814621",
            "telephone_number": "614-224-2988",
            "fax_number": "614-716-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155549",
            "telephone_number": "614-224-2988",
            "fax_number": "614-716-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTTA",
        "first_name": "SARA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.