Active NPI
Mary Dwire, MSW, LSW
- Social Worker
- Blue Ash, OH
National Provider Identifier
1609566876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0019626
- Practice address
- 10999 Reed Hartman Highway
Suite 207
Blue Ash, OH 45242-8301 - Phone
- (513) 999-5506
- Fax
- (513) 909-2610
- NPI assigned
- May 11, 2023
- Last updated
- Jun 17, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0019626 | OH | Primary |
Addresses
Primary practice location
10999 Reed Hartman Highway
Suite 207
Blue Ash, OH 45242-8301
Mailing address
6484 Lakeview CT
Fairfield Township, OH 45011-8139
Phone (513) 207-8020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0040456 | 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 |
|---|---|---|---|
| S.0019626 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Fields LLC | Clinical | Current | Accepting new patients |
Locations
10999 Reed Hartman Hwy
Ste 207
Blue Ash, OH 45242
Phone (513) 748-8012
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": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1609566876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6484 LAKEVIEW CT",
"city": "FAIRFIELD TOWNSHIP",
"state": "OH",
"postal_code": "450118139",
"telephone_number": "513-207-8020",
"fax_number": "513-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10999 REED HARTMAN HIGHWAY",
"address_2": "SUITE 207",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452428301",
"telephone_number": "513-999-5506",
"fax_number": "513-909-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWIRE",
"first_name": "MARY",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2024-06-17",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0019626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0040456",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
- Donty Horton Home Care (DHHC) LLC (Destination Transport)
- Edward Driver
- Deborah Ann Duross, LISW
- Elias Duthinh, PT, DPT
- Dva Healthcare Southwest Ohio LLC (Blue Ash Dialysis)
- Dynamic Nursing LLC
- Brittany A Eakes, LPCC
- East Jenkins Kids Operating Co LLC
- East Water Leasing Co. II, LLC (Never Alone OH)
- East Water Leasing Co. II, LLC (Never Alone MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.