Individual provider Active NPI

Nancy S Nathan, LISW

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1487705869
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0007225 Issued in OH
Practice address
2567 Erie Ave
Cincinnati, OH 45208-2018
Phone
(513) 259-3663
Fax
(513) 871-3262
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I0007225 OH Primary
Marriage & Family Therapist 106H00000X F119 OH

Addresses

Primary practice location

2567 Erie Ave
Cincinnati, OH 45208-2018

Mailing address

2567 Erie Ave
Cincinnati, OH 45208-2018
Phone (513) 259-3663

Other identifiers 1

IdentifierTypeStateIssuer
000000106836OtherOHANTHEM PROVIDER NUMBER

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
I0007225OHMDSocial Worker
F119OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, Inc. Past Accepting new patients

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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1487705869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082018",
            "telephone_number": "513-259-3663",
            "fax_number": "513-871-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082018",
            "telephone_number": "513-259-3663",
            "fax_number": "513-871-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "NANCY",
        "middle_name": "S",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0007225",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000106836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.