Individual provider Active NPI

Ejartu Kanu, R-SWA

  • Social Worker
  • Columbus, OH
National Provider Identifier
1518740653
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
W.2300361 Issued in OH
Practice address
700 Bryden Rd Ste 122
Columbus, OH 43215-4839
Phone
(614) 681-0012
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 W.2300361 OH Primary

Addresses

Primary practice location

700 Bryden Rd Ste 122
Columbus, OH 43215-4839

Mailing address

700 Bryden Rd Ste 122
Columbus, OH 43215-4839

Other names 1

  • Ms. Ejartu Kanu Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
W.2300361OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightlife Behavioral Health LLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

700 Bryden Rd
Ste 122
Columbus, OH 43215
Phone (614) 681-0012

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1518740653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BRYDEN RD STE 122",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BRYDEN RD STE 122",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154839",
            "telephone_number": "614-681-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANU",
        "first_name": "EJARTU",
        "credential": "R-SWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "W.2300361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EJARTU",
            "last_name": "KANU",
            "prefix": "MS.",
            "credential": "R-SWA",
            "code": "2",
            "type": "Professional 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 Aug 14, 2023; 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.