Active NPI
Jane L Groh, LISW-S
- Clinical Social Worker
- Lebanon, OH
National Provider Identifier
1528012499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0004412-SUPV
- Practice address
- 975 Kingsview Dr BLDG a
Lebanon, OH 45036-9562 - Phone
- (513) 228-7800
- Fax
- (513) 228-7846
- NPI assigned
- May 22, 2006
- Last updated
- May 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0004412-SUPV | OH | Primary |
Addresses
Primary practice location
975 Kingsview Dr BLDG a
Lebanon, OH 45036-9562
Mailing address
204 Cook Rd
Suite 400
Lebanon, OH 45036-9600
Phone (513) 228-7800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000228724 | Other | ANTHEM PIN | |
| 11538022 | Other | CAQH # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lets in Mental Health & Recovery LLC | Clinical | Current | Accepting new patients |
| Lets in Mental Health & Recovery LLC | Clinical | Current | Accepting new patients |
Locations
7162 Reading Rd
Ste 720
Cincinnati, OH 45237
Phone (419) 699-0257
7672 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 531-1025
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1033947650
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cincinnati, OH
- NPI 1194563908
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1528012499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 COOK RD",
"address_2": "SUITE 400",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369600",
"telephone_number": "513-228-7800",
"fax_number": "513-695-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KINGSVIEW DR BLDG A",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369562",
"telephone_number": "513-228-7800",
"fax_number": "513-228-7846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROH",
"first_name": "JANE",
"middle_name": "L",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0004412-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000228724",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH #",
"identifier": "11538022",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.