Individual provider Active NPI

Brandi Lee Ankrom, LISW-S

  • Social Worker
  • New Philadelphia, OH
National Provider Identifier
1700073236
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0900360 Issued in OH
Practice address
1433 5TH St NW
New Philadelphia, OH 44663-1223
Phone
(330) 343-8171
Fax
(330) 343-8439
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I0900360 OH Primary

Addresses

Primary practice location

1433 5TH St NW
New Philadelphia, OH 44663-1223

Mailing address

1433 5TH St NW
New Philadelphia, OH 44663-1223

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
I20130926000541 OH Practitioner - Clinical Social Worker 9234373580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0900360OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone Current Accepting new patients
Village Network CurrentSince Sep 5, 2013 Accepting new patients
Village Network CurrentSince Sep 5, 2013 Accepting new patients
Ohioguidestone CurrentSince Aug 25, 2014 Accepting new patients
Ohioguidestone CurrentSince Aug 25, 2014 Accepting new patients

Locations

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

1433 5th St NW
New Philadelphia, OH 44663
Phone (330) 343-8171

3011 Akron Rd
Wooster, OH 44691
Phone (330) 202-3875

2000 Noble Dr
Wooster, OH 44691
Phone (330) 439-8492

Organizations & group practices 5

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1700073236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 5TH ST NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 5TH ST NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631223",
            "telephone_number": "330-343-8171",
            "fax_number": "330-343-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKROM",
        "first_name": "BRANDI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0900360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.