Individual provider Active NPI

Lisa Lubkeman-Smith, LISW

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1740376789
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I4970 Issued in OH
Practice address
445 E. Granville Rd
BLDG N
Worthington, OH 43085-3192
Phone
(614) 293-9550
Fax
(614) 293-9549
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I4970 OH Primary

Addresses

Primary practice location

445 E. Granville Rd
BLDG N
Worthington, OH 43085-3192

Mailing address

445 E. Granville Rd
BLDG N
Worthington, OH 43085-3192
Phone (614) 293-9550

Other names 1

  • Lisa Lubkeman 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I4970OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M. Lubkeman-Smith CurrentSince Aug 27, 2012 Accepting new patients
Center for Eating Disorders & Psychotherapy PastSince Oct 23, 2022 Accepting new patients

Locations

3736 N High St
#102
Columbus, OH 43214
Phone (614) 404-2088

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1740376789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E. GRANVILLE RD",
            "address_2": "BLDG N",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-293-9550",
            "fax_number": "614-293-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E. GRANVILLE RD",
            "address_2": "BLDG N",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-293-9550",
            "fax_number": "614-293-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBKEMAN-SMITH",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I4970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LUBKEMAN",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.