Individual provider Active NPI

Lance Garrodd Woodley

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1619416005
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1802756 Issued in OH
Practice address
5400 Edalbert Dr
Cincinnati, OH 45239
Phone
(386) 233-8454
NPI assigned
Feb 17, 2017
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X S.1802756 OH Primary

Addresses

Primary practice location

5400 Edalbert Dr
Cincinnati, OH 45239

Mailing address

5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone (386) 233-8454

Other practice location 1

975 Kingsview Dr
Lebanon, OH 45036-9562
Phone (513) 228-7800

Other practice location 2

7162 Reading Rd Ste 300
Cincinnati, OH 45237-3899
Phone (513) 532-4098

Other practice location 3

5400 Edalbert Dr
Cincinnati, OH 45239
Phone (386) 233-8454

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1802756OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Centers of Warren County, Inc PastSince Mar 1, 2020 Accepting new patients

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": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1619416005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 EDALBERT DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397604",
            "telephone_number": "386-233-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 EDALBERT DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45239",
            "telephone_number": "386-233-8454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Kingsview Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450369562",
            "country_code": "US",
            "telephone_number": "513-228-7800",
            "fax_number": "513-228-7846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7162 Reading Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452373899",
            "country_code": "US",
            "telephone_number": "513-532-4098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Edalbert Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45239",
            "country_code": "US",
            "telephone_number": "386-233-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "LANCE",
        "middle_name": "GARRODD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1802756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.