Active NPI
Brandi Lee Ankrom, LISW-S
- Social Worker
- New Philadelphia, OH
National Provider Identifier
1700073236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I0900360
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0900360 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Current | Accepting new patients | |
| Village Network | Current | Accepting new patients | |
| Village Network | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | 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.
-
- Developmental - Behavioral Pediatrics Physician
- Berea, OH
- NPI 1609123728
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1174680557
-
- Family Medicine Physician
- Lorain, OH
- NPI 1487452603
-
- Voluntary or Charitable Agency
- Wooster, OH
- NPI 1093103988
-
- Voluntary or Charitable Agency
- Wooster, OH
- NPI 1124057914
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.