Individual provider Active NPI

Patti J Marinko, LISW

  • Social Worker
  • Bellevue, OH
National Provider Identifier
1487913109
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0004024 Issued in OH
Practice address
5433 State Route 113
Bellevue, OH 44811-9708
Phone
(567) 256-3450
Fax
(567) 256-3451
NPI assigned
May 15, 2012
Last updated
May 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0004024 OH Primary

Addresses

Primary practice location

5433 State Route 113
Bellevue, OH 44811-9708

Mailing address

5433 State Route 113
Bellevue, OH 44811-9708
Phone (567) 256-3451

Other names 1

  • Patti J Rus Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0004024OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1487913109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 STATE ROUTE 113",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119708",
            "telephone_number": "567-256-3451",
            "fax_number": "567-256-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 STATE ROUTE 113",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119708",
            "telephone_number": "567-256-3450",
            "fax_number": "567-256-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINKO",
        "first_name": "PATTI",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0004024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTI",
            "last_name": "RUS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.