Active NPI
Don E. Iliff Jr., LISW
- Clinical Social Worker
- Findlay, OH
National Provider Identifier
1639253271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0700242
- Practice address
- 1918 N Main St
Findlay, OH 45840-3818 - Phone
- (419) 425-5050
- Fax
- (419) 423-6464
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 071035 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0718000152 | VA | |
| Clinical Social Worker | 1041C0700X | 0904003944 | VA | |
| Clinical Social Worker | 1041C0700X | I0700242 | OH | Primary |
Addresses
Primary practice location
1918 N Main St
Findlay, OH 45840-3818
Mailing address
3224 Jurnee Dr
Findlay, OH 45840-7922
Phone (567) 525-4169
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187848 | Other | VA | ANTHEM |
| 089206 | Other | VA | OPTIMA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071035 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 0718000152 | VA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1639253271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 JURNEE DR",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458407922",
"telephone_number": "567-525-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 N MAIN ST",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458403818",
"telephone_number": "419-425-5050",
"fax_number": "419-423-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIFF",
"first_name": "DON",
"middle_name": "E.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "071035",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0718000152",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003944",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0700242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "187848",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "089206",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Findlay, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.