Individual provider Active NPI

Joni Lynn Sivey, M.S., M.S.W, LSW

  • Clinical Social Worker
  • Westerville, OH
National Provider Identifier
1699892455
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1802207 Issued in OH
Practice address
700 Brooksedge Blvd
Westerville, OH 43081-2820
Phone
(614) 882-9338
Fax
(614) 882-3401
NPI assigned
Mar 24, 2007
Last updated
Dec 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.166938 OH
Mental Health Counselor 101YM0800X OH
Clinical Social Worker 1041C0700X S.1802207 OH Primary

Addresses

Primary practice location

700 Brooksedge Blvd
Westerville, OH 43081-2820

Mailing address

4065 Indianola Ave
Columbus, OH 43214-3161
Phone (614) 715-6721

Other practice location 1

4740 N Grand Ave
Covina, CA 91724-2005
Phone (626) 859-2089

Other practice location 2

3964 Hamilton Square Blvd
Groveport, OH 43125
Phone (614) 916-6571 ext. 2013

Other names 1

  • Ms. Joni Lynn Degrado Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CDCA.166938OHMDAddiction (Substance Use Disorder) Counselor
S.1802207OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Path Counseling and Wellness LLC Clinical Current 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, 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": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1699892455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 INDIANOLA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143161",
            "telephone_number": "614-715-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROOKSEDGE BLVD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812820",
            "telephone_number": "614-882-9338",
            "fax_number": "614-882-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4740 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917242005",
            "country_code": "US",
            "telephone_number": "626-859-2089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3964 Hamilton Square Blvd",
            "address_purpose": "LOCATION",
            "city": "Groveport",
            "state": "OH",
            "postal_code": "43125",
            "country_code": "US",
            "telephone_number": "614-916-6571 x2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVEY",
        "first_name": "JONI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S., M.S.W, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.166938",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1802207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONI",
            "last_name": "DEGRADO",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "M.S., M.S.W, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.