Active NPI
Sylvanus Nii Baddoo, LSW, LICDC
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1689185563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.0028652
- Practice address
- 199 S Central Ave
Columbus, OH 43223-1301 - Phone
- (614) 276-2273
- NPI assigned
- Oct 18, 2017
- Sex
- Male
- 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 | 021148 | OH | |
| Clinical Social Worker | 1041C0700X | S.0028652 | OH | Primary |
Addresses
Primary practice location
199 S Central Ave
Columbus, OH 43223-1301
Mailing address
2494 Agler Rd
Columbus, OH 43224-4662
Phone (614) 506-5227
Other practice location 1
1851 State Rout 51
London, OH 43140-0740
Phone (740) 852-9777 ext. 62509
Other practice location 2
900 E Dublin Granville Rd
Columbus, OH 43229-2452
Phone (614) 706-2786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RZ078094 | Other | OH | DRIVERS LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021148 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.0028652 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689185563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2494 AGLER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432244662",
"telephone_number": "614-506-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 S CENTRAL AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432231301",
"telephone_number": "614-276-2273"
}
],
"practiceLocations": [
{
"address_1": "1851 State Rout 51",
"address_purpose": "LOCATION",
"city": "London",
"state": "OH",
"postal_code": "431400740",
"country_code": "US",
"telephone_number": "740-852-9777 x62509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 E Dublin Granville Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432292452",
"country_code": "US",
"telephone_number": "614-706-2786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADDOO",
"first_name": "SYLVANUS",
"middle_name": "NII",
"credential": "LSW, LICDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "021148",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.0028652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "RZ078094",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.