Active NPI
Mary J. Royer, LISW
- Clinical Social Worker
- Hamilton, OH
National Provider Identifier
1578746806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 0003470
- Practice address
- 1900 Fairgrove Ave
Hamilton, OH 45011-1966 - Phone
- (513) 868-3210
- Fax
- (513) 868-3249
- NPI assigned
- Dec 10, 2007
- 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 0003470 | OH | Primary |
Addresses
Primary practice location
1900 Fairgrove Ave
Hamilton, OH 45011-1966
Mailing address
1900 Fairgrove Ave
Hamilton, OH 45011-1966
Phone (513) 868-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3025 | Medicaid | OH |
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 |
|---|---|---|---|
| I 0003470 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1578746806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 FAIRGROVE AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450111966",
"telephone_number": "513-868-3210",
"fax_number": "513-868-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 FAIRGROVE AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450111966",
"telephone_number": "513-868-3210",
"fax_number": "513-868-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYER",
"first_name": "MARY",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 0003470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3025",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.