Individual provider Active NPI

Debbie Shanna Neo, LSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1689328346
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2005016 Issued in OH
Practice address
620 Alum Creek Dr Ste 200
Columbus, OH 43205-1653
Phone
(614) 412-1002
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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 S.2005016 OH Primary

Addresses

Primary practice location

620 Alum Creek Dr Ste 200
Columbus, OH 43205-1653

Mailing address

3721 Nicoya CT
Lewis Center, OH 43035-9353
Phone (330) 284-0468

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

LicenseStateTypeSpecialty
S.2005016OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted & Restored Counseling, LLC Clinical PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1689328346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 NICOYA CT",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359353",
            "telephone_number": "330-284-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ALUM CREEK DR STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051653",
            "telephone_number": "614-412-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEO",
        "first_name": "DEBBIE",
        "middle_name": "SHANNA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2005016",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 10, 2022; 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.