Individual provider Active NPI

Grace Ottley, SWT

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1538894555
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2202469-TRE Issued in OH
Practice address
7162 Reading Rd Ste 300
Cincinnati, OH 45237-3899
Phone
(513) 961-5900
Fax
(513) 961-5903
NPI assigned
Jul 22, 2022
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 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.2202469-TRE OH Primary

Addresses

Primary practice location

7162 Reading Rd Ste 300
Cincinnati, OH 45237-3899

Mailing address

861 Van Dyke Ave
Cincinnati, OH 45226-1264
Phone (513) 961-5900

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
S.2202469-TREOHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Camelot Community Care, Inc CurrentSince Jul 24, 2022 Accepting new patients
Camelot Community Care, Inc. Social Worker CurrentSince Jul 24, 2022 Accepting new patients

Locations

7162 Reading Rd
Ste 300
Cincinnati, OH 45237
Phone (513) 961-5900

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1538894555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 VAN DYKE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261264",
            "telephone_number": "513-961-5900",
            "fax_number": "513-961-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7162 READING RD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373899",
            "telephone_number": "513-961-5900",
            "fax_number": "513-961-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTLEY",
        "first_name": "GRACE",
        "credential": "SWT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2202469-TRE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.