Individual provider Active NPI

Marcia Ann Johns, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1669543609
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009186-SUPV Issued in OH
Practice address
1501 Madison Rd
Cincinnati, OH 45206
Phone
(513) 354-5200
Fax
(513) 354-7115
NPI assigned
Nov 13, 2006
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0009186-SUPV OH Primary
Marriage & Family Therapist 106H00000X I0009186 OH

Addresses

Primary practice location

1501 Madison Rd
Cincinnati, OH 45206

Mailing address

1501 Madison Rd
Cincinnati, OH 45206
Phone (513) 354-5200

Other identifiers 1

IdentifierTypeStateIssuer
I0009186OtherOHLISW

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
I20040309001031 OH Practitioner - Clinical Social Worker 7517855646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-7000

1501 Madison Rd
Cincinnati, OH 45206-1776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009186-SUPVOHMDClinical Social Worker
I0009186OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Behavioral Health Services Current Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince Mar 1, 2017 Accepting new patients
Greater Cincinnati Behavioral Health Services CurrentSince Mar 1, 2017 Accepting new patients
McGrath Adolescent & Family Center Mental Health Past Accepting new patients
Greater Cincinnati Behavioral Health Services Past Accepting new patients
Norcen Behavioral Health Systems Past Accepting new patients

Locations

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Organizations & group practices 7

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1669543609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45206",
            "telephone_number": "513-354-5200",
            "fax_number": "513-354-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45206",
            "telephone_number": "513-354-5200",
            "fax_number": "513-354-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009186-SUPV",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "I0009186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW",
            "identifier": "I0009186",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.