Organization Active NPI

Ogletree Supportive Services LLC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1679338404
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OGLETREE SUPPORTIVE SERVICES LLC
Practice address
3443 Amberway CT
Cincinnati, OH 45251-3310
Phone
(513) 310-5683
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Sean Christopher Ogletree, LISWNPI 1811354038
Title
Owner
Phone
(513) 310-5683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3443 Amberway CT
Cincinnati, OH 45251-3310

Mailing address

3443 Amberway CT
Cincinnati, OH 45251-3310
Phone (513) 310-5683

Other names 1

  • Sean Ogletree Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240606001140 OH Part B Supplier - Clinic/Group Practice 3173065026 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1679338404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 AMBERWAY CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452513310",
            "telephone_number": "513-310-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 AMBERWAY CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452513310",
            "telephone_number": "513-310-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLETREE SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "OGLETREE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-310-5683",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sean Ogletree",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sean Ogletree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.