Individual provider Active NPI

Mollie Elizabeth Ridings, LSW

  • Clinical Social Worker
  • Amelia, OH
National Provider Identifier
1619478203
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I2103171 Issued in OH
Practice address
17 Woodlands Dr
Amelia, OH 45102-1754
Phone
(513) 455-0059
NPI assigned
Feb 28, 2018
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1600520 OH
Clinical Social Worker 1041C0700X I2103171 OH Primary

Addresses

Primary practice location

17 Woodlands Dr
Amelia, OH 45102-1754

Mailing address

17 Woodlands Dr
Amelia, OH 45102-1754
Phone (513) 455-0059

Other practice location 1

43 E Main St
Amelia, OH 45102-1993
Phone (513) 947-7000

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220211000649 OH Practitioner - Clinical Social Worker 0840683058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1600520OHMDSocial Worker
I2103171OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Jul 19, 2023 Accepting new patients

Locations

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1619478203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOODLANDS DR",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021754",
            "telephone_number": "513-455-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WOODLANDS DR",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021754",
            "telephone_number": "513-455-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 E Main St",
            "address_purpose": "LOCATION",
            "city": "Amelia",
            "state": "OH",
            "postal_code": "451021993",
            "country_code": "US",
            "telephone_number": "513-947-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDINGS",
        "first_name": "MOLLIE",
        "middle_name": "ELIZABETH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600520",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I2103171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

Verify at the official NPI Registry.