Active NPI
Ruth Ellen Lyons, LISW - S
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1508946559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1091582
- Practice address
- 815 W Broad St Ste 200
Columbus, OH 43222-1478 - Phone
- (614) 717-0822
- Fax
- (614) 717-4427
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11474 | SC | |
| Clinical Social Worker | 1041C0700X | 6801067147 | MI | |
| Clinical Social Worker | 1041C0700X | I.1091582 | OH | Primary |
Addresses
Primary practice location
815 W Broad St Ste 200
Columbus, OH 43222-1478
Mailing address
5595 State Route 47 E
Bellefontaine, OH 43311-9542
Phone (616) 570-4211
Other practice location 1
1297 Professional Dr
Myrtle Beach, SC 29577-5713
Phone (843) 232-5770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0348011 | Medicaid | OH |
Other names 1
- Ruth Ellen Reed
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
| License | State | Type | Specialty |
|---|---|---|---|
| I.1091582 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1508946559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5595 STATE ROUTE 47 E",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433119542",
"telephone_number": "616-570-4211",
"fax_number": "614-717-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W BROAD ST STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221478",
"telephone_number": "614-717-0822",
"fax_number": "614-717-4427"
}
],
"practiceLocations": [
{
"address_1": "1297 Professional Dr",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295775713",
"country_code": "US",
"telephone_number": "843-232-5770",
"fax_number": "843-712-1425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "RUTH",
"middle_name": "ELLEN",
"credential": "LISW - S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "11474",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801067147",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1091582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0348011",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "REED",
"middle_name": "ELLEN",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.