Active NPI
Jackson Rains
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1720639057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.1901050-TRNE
- Practice address
- 311 Albert Sabin Way
Cincinnati, OH 45229-2838 - Phone
- (513) 558-1021
- NPI assigned
- Sep 27, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.1901050-TRNE | OH | Primary |
Addresses
Primary practice location
311 Albert Sabin Way
Cincinnati, OH 45229-2838
Mailing address
311 Albert Sabin Way
Cincinnati, OH 45229-2838
Phone (513) 558-1021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.1901050-TRNE | Other | OH | SOCIAL WORK TRAINEE |
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 |
|---|---|---|---|
| S.1901050-TRNE | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1720639057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ALBERT SABIN WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292838",
"telephone_number": "513-558-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ALBERT SABIN WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292838",
"telephone_number": "513-558-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINS",
"first_name": "JACKSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-27",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.1901050-TRNE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK TRAINEE",
"identifier": "S.1901050-TRNE",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.