Individual provider Active NPI

Raevyn Brenae Yarber, MSW

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1598240632
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2203588 Issued in OH
Practice address
3333 Burnet Ave. - ML 6019
Cincinnati, OH 45229
Phone
(513) 636-4124
Fax
(513) 636-4283
NPI assigned
Sep 25, 2018
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X
Social Worker 104100000X I.2203588 OH Primary

Addresses

Primary practice location

3333 Burnet Ave. - ML 6019
Cincinnati, OH 45229

Mailing address

3333 Burnet Ave - ML 6019
Cincinnati, OH 45229
Phone (513) 636-4124

Other practice location 1

13101 Allen Rd
Southgate, MI 48195-2216
Phone (734) 785-7700

Other practice location 2

5665 Hoover Rd
Grove City, OH 43123
Phone (614) 875-2371

Other practice location 3

5665 Hoover Rd
Grove City, OH 43123
Phone (614) 875-2371

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center Counselor CurrentSince Mar 9, 2023 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
#6019
Cincinnati, OH 45229
Phone (513) 636-4124

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, 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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1598240632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE - ML 6019",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-4124",
            "fax_number": "513-636-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE. - ML 6019",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-4124",
            "fax_number": "513-636-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952216",
            "country_code": "US",
            "telephone_number": "734-785-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5665 Hoover Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "43123",
            "country_code": "US",
            "telephone_number": "614-875-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5665 Hoover Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "43123",
            "country_code": "US",
            "telephone_number": "614-875-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARBER",
        "first_name": "RAEVYN",
        "middle_name": "BRENAE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2203588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.