Individual provider Active NPI

Kathryn L Streiff, LISW

  • Clinical Social Worker
  • Middletown, OH
National Provider Identifier
1689111528
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700503 Issued in OH
Practice address
1131 Central Ave Ste 204
Middletown, OH 45044-4006
Phone
(513) 393-7710
NPI assigned
Jan 31, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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.1700503 OH Primary
Social Worker 104100000X S.1500632 OH

Addresses

Primary practice location

1131 Central Ave Ste 204
Middletown, OH 45044-4006

Mailing address

1131 Central Ave Ste 204
Middletown, OH 45044-4006
Phone (513) 393-7710

Other practice location 1

4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone (513) 649-8008 ext. 22

Other identifiers 4

IdentifierTypeStateIssuer
01-0693OtherOHCARF CERTIFICATION
0074946OtherOHMEDICAID-ODMH
H130910OtherOHMEDICARE GROUP PTAN
0074861OtherOHMEDICAID-ODADAS

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
I20170913003319 OH Practitioner - Clinical Social Worker 8527331594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cordell Associates, LLCGroup PAC ID 8325130453, 8 clinicians

Practice addresses (Care Compare)

6500 Poe Ave
Suite 400
Dayton, OH 45414-2870
Phone (937) 276-3356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1500632OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cordell Associates, LLC CurrentSince Jun 5, 2025 Accepting new patients
Access Counseling Services, LLC PastSince Sep 6, 2017 Accepting new patients

Locations

6500 Poe Ave
Ste 400
Dayton, OH 45414
Phone (937) 276-3356

Organizations & group practices 3

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689111528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 CENTRAL AVE STE 204",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444006",
            "telephone_number": "513-393-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 CENTRAL AVE STE 204",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444006",
            "telephone_number": "513-393-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4464 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055464",
            "country_code": "US",
            "telephone_number": "513-649-8008 x22",
            "fax_number": "513-649-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREIFF",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700503",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1500632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF CERTIFICATION",
            "identifier": "01-0693",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-ODMH",
            "identifier": "0074946",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "H130910",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-ODADAS",
            "identifier": "0074861",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.