Individual provider Active NPI

Aida Diallo, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1619533205
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304808 Issued in OH
Practice address
5310 E Main St
Columbus, OH 43213-2598
Phone
(614) 751-1090
NPI assigned
May 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 090444 NY
Clinical Social Worker 1041C0700X I.2304808 OH Primary

Addresses

Primary practice location

5310 E Main St
Columbus, OH 43213-2598

Mailing address

5310 E Main St
Columbus, OH 43213-2598
Phone (614) 751-1090

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
I20231004002059 OH Practitioner - Clinical Social Worker 8820443211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304808OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Behavioral Health Services, Inc. CurrentSince Sep 21, 2023 Accepting new patients

Locations

495 E Mound St
Ste 110
Columbus, OH 43215
Phone (614) 948-3273

5011 Pine Creek Dr
Westerville, OH 43081
Phone (614) 948-3273

623 Park Meadow Rd
Ste H
Westerville, OH 43081
Phone (614) 774-1120

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1619533205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132598",
            "telephone_number": "614-751-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132598",
            "telephone_number": "614-751-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "AIDA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090444",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.