NPIMap

Individual provider Active NPI

Amy Fleischer-Brown, MA-LISW

  • Clinical Social Worker
  • Hilliard, OH
National Provider Identifier
1487060224
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1303637 Issued in OH
Practice address
3931 Trueman Blvd
Hilliard, OH 43026-2495
Phone
(614) 664-3595
Fax
(614) 929-3615
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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 1303637 OH Primary

Addresses

Primary practice location

3931 Trueman Blvd
Hilliard, OH 43026-2495

Mailing address

3931 Trueman Blvd
Hilliard, OH 43026-2495
Phone (614) 664-3595

Other identifiers 1

IdentifierTypeStateIssuer
1083905830MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1303637OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Providers for Healthy Living Past Accepting new patients
Providers for Healthy Living Past Accepting new patients

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1487060224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 TRUEMAN BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262495",
            "telephone_number": "614-664-3595",
            "fax_number": "614-929-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 TRUEMAN BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262495",
            "telephone_number": "614-664-3595",
            "fax_number": "614-929-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHER-BROWN",
        "first_name": "AMY",
        "credential": "MA-LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1303637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083905830",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.