Individual provider Active NPI

Nasra H. Bube, MSW, LSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1457787129
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1801372 Issued in OH
Practice address
1791 Alum Creek Dr Ste 100
Columbus, OH 43207-1708
Phone
(614) 645-5500
Fax
(614) 645-5517
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X OH3175878 OH
Clinical Social Worker 1041C0700X 1801372 OH Primary
Social Worker 104100000X S1302491 OH

Addresses

Primary practice location

1791 Alum Creek Dr Ste 100
Columbus, OH 43207-1708

Mailing address

2780 Airport Dr Ste 100
Columbus, OH 43219-2289
Phone (614) 645-5500

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
I20210216001971 OH Practitioner - Clinical Social Worker 5991110439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1302491OHMDSocial Worker
1801372OHMDClinical Social Worker
OH3175878OHMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. CurrentSince Jan 25, 2021 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients

Locations

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

L3318
Columbus, OH 43260

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

Organizations & group practices 5

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1457787129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192289",
            "telephone_number": "614-645-5500",
            "fax_number": "614-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071708",
            "telephone_number": "614-645-5500",
            "fax_number": "614-645-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBE",
        "first_name": "NASRA",
        "middle_name": "H.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "OH3175878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1801372",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1302491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.