Active NPI
Marilyn Brink, LISW-S BCD
- Clinical Social Worker
- Grove City, OH
National Provider Identifier
1558452300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I10073
- Practice address
- 1955 Ohio Dr
Grove City, OH 43123-4835 - Phone
- (614) 257-5816
- Fax
- (614) 257-5801
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | I10073 | OH | Primary |
Addresses
Primary practice location
1955 Ohio Dr
Grove City, OH 43123-4835
Mailing address
1955 Ohio Dr
Grove City, OH 43123-4835
Phone (614) 257-5816
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
| License | State | Type | Specialty |
|---|---|---|---|
| I10073 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1558452300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 OHIO DR",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431234835",
"telephone_number": "614-257-5816",
"fax_number": "614-257-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 OHIO DR",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431234835",
"telephone_number": "614-257-5816",
"fax_number": "614-257-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINK",
"first_name": "MARILYN",
"credential": "LISW-S BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I10073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.