Individual provider Active NPI

Irmina Light, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1508825100
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008153 Issued in OH
Practice address
1272 Hope Ave
Columbus, OH 43212-3576
Phone
(614) 487-9778
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2010

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 I0008153 OH Primary

Addresses

Primary practice location

1272 Hope Ave
Columbus, OH 43212-3576

Mailing address

1272 Hope Ave
Columbus, OH 43212-3576
Phone (614) 487-9778

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
I20110307001002 OH Practitioner - Clinical Social Worker 6901088350 Reassigns benefits to 1 organization
Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Counseling Inc.Group PAC ID 1052203445, 14 clinicians

Practice addresses (Care Compare)

Columbus, OH 43212
Phone (833) 491-4141

1035 Proprietors Rd
Worthington, OH 43085-3230
Phone (614) 785-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Counseling Inc. Clinical CurrentSince Jan 8, 2011 Accepting new patients
North Community Counseling Centers Inc Past Accepting new patients

Locations

1035 Proprietors Rd
Worthington, OH 43085
Phone (614) 785-1115

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/northcommunity/r4/

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1508825100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 HOPE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123576",
            "telephone_number": "614-487-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 HOPE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123576",
            "telephone_number": "614-487-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "IRMINA",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.