Nicholas Sgobbo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801049 Issued in OH

Practice address

6617 Fallen Timbers Dr
Dublin, OH 43017-2870

Phone

(614) 915-1949

NPI assigned

Mar 16, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Georgetown Psychological Services PLLC

  • Psychologist
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  • NPI 1942504949
  NPD

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1447791975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 HUNTINGTON PARK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355617",
            "telephone_number": "614-505-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 FALLEN TIMBERS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172870",
            "telephone_number": "614-915-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGOBBO",
        "first_name": "NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161452",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Serrato
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• Rashi Sethi, PHARMD
• Seva Dental Ohio LLC
• Lisa Sexton
• Sharis C Shabandari, CNP
• Rabihah Shabazz
• Carly Shackle
• Robert F Shadel, M.D.
• Kylie Nichole Shafer, COTA/L

• Clinical Social Worker in Dublin, OH
• Providers in Dublin, 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 16, 2022; 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.