Organization Active NPI

Michelle Risser Lisw, Inc

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1457746588
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0700128 Issued in OH
Legal business name
MICHELLE RISSER LISW, INC
Practice address
37 E Wilson Bridge Rd
Suite 250
Worthington, OH 43085-2354
Phone
(614) 582-1734
NPI assigned
Apr 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Michelle RisserNPI 1316181431
Title
Owner
Phone
(614) 582-1734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0700128 OH Primary

Addresses

Primary practice location

37 E Wilson Bridge Rd
Suite 250
Worthington, OH 43085-2354

Mailing address

2183 Otter LN
Dublin, OH 43016-9067
Phone (614) 582-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150401001148 OH Part B Supplier - Clinic/Group Practice 7315264306 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

2939 Kenny Rd
Ste 201
Columbus, OH 43221
Phone (614) 559-1977

37 E Wilson Bridge Rd
Ste 250
Worthington, OH 43085
Phone (614) 341-7090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1457746588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 OTTER LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169067",
            "telephone_number": "614-582-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E WILSON BRIDGE RD",
            "address_2": "SUITE 250",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852354",
            "telephone_number": "614-582-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE RISSER LISW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-582-1734"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0700128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.