Individual provider Active NPI

Elisabeth Jaquish-Galocy, MSW

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1497709976
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1600177 Issued in OH
Practice address
5050 Madison Rd
Cincinnati, OH 45227-1491
Phone
(513) 272-2800
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 S.1600177 OH Primary

Addresses

Primary practice location

5050 Madison Rd
Cincinnati, OH 45227-1491

Mailing address

5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 272-2800

Other names 1

  • Elisabeth Jaquish Former name

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
I20260210003258 OH Practitioner - Clinical Social Worker 6406335355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5050 Madison Rd
Cincinnati, OH 45227-1491

5050 Madison Rd
Cincinnati, OH 45227-1493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1600177OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Home of Cincinnati Ohio, Inc CurrentSince Dec 30, 2025 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board Past Accepting new patients

Locations

5050 Madison Rd
Cincinnati, OH 45227
Phone 5132722800 ext. 1234

3101 Dixie Hwy
Hamilton, OH 45015
Phone (513) 737-3400

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1497709976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271491",
            "telephone_number": "513-272-2800",
            "fax_number": "513-631-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271491",
            "telephone_number": "513-272-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUISH-GALOCY",
        "first_name": "ELISABETH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "JAQUISH",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.