Individual provider Active NPI

Emily M Wanstrath, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1659722858
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1600252 Issued in OH
Practice address
8044 Montgomery Rd
Suite 700
Cincinnati, OH 45236-2919
Phone
(513) 907-6238
Fax
(844) 965-9287
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I1600252 OH Primary

Addresses

Primary practice location

8044 Montgomery Rd
Suite 700
Cincinnati, OH 45236-2919

Mailing address

4116 Paxton Woods Dr
Cincinnati, OH 45209-1417
Phone (513) 442-9170

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

LicenseStateTypeSpecialty
I1600252OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1659722858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 PAXTON WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091417",
            "telephone_number": "513-442-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD",
            "address_2": "SUITE 700",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362919",
            "telephone_number": "513-907-6238",
            "fax_number": "844-965-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANSTRATH",
        "first_name": "EMILY",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1600252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.