Individual provider Active NPI

Vicky L Untied, MSW, LSW

  • Social Worker
  • Zanesville, OH
National Provider Identifier
1730623364
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S1600461 Issued in OH
Practice address
1175 Newark Rd
Zanesville, OH 43701-2618
Phone
(740) 454-0738
Fax
(740) 588-6452
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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 S1600461 OH Primary

Addresses

Primary practice location

1175 Newark Rd
Zanesville, OH 43701-2618

Mailing address

1175 Newark Rd
Zanesville, OH 43701-2618
Phone (740) 454-0738

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
S1600461OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allwell Behavioral Health Services Past Accepting new patients
Allwell Behavioral Health Services Past Accepting new patients

Organizations & group practices 2

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": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1730623364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NEWARK RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012618",
            "telephone_number": "740-454-0738",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NEWARK RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012618",
            "telephone_number": "740-454-0738",
            "fax_number": "740-588-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTIED",
        "first_name": "VICKY",
        "middle_name": "L",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1600461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.