Active NPI
Natasha Wiggins, LSW
- Social Worker
- Dayton, OH
National Provider Identifier
1639689151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2410619
- Practice address
- 100 Elmwood Park Dr
Dayton, OH 45449-5402 - Phone
- (937) 384-0580
- Fax
- (937) 384-0581
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCII.161612 | OH | |
| Social Worker | 104100000X | S.2410619 | OH | Primary |
Addresses
Primary practice location
100 Elmwood Park Dr
Dayton, OH 45449-5402
Mailing address
100 Elmwood Park Dr
Dayton, OH 45449-5402
Phone (937) 384-0580
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2674 E Main St
E306
Ventura, CA 93003-2820
6929 N Main St
Dayton, OH 45415-2563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCII.161612 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2410619 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Works Holding Company LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/recoveryworkshealingcenter/r4/
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1093350951
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Dayton, OH
- NPI 1376910505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1639689151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ELMWOOD PARK DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454495402",
"telephone_number": "937-384-0580",
"fax_number": "937-384-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ELMWOOD PARK DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454495402",
"telephone_number": "937-384-0580",
"fax_number": "937-384-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "NATASHA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCII.161612",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2410619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.