Individual provider Active NPI

Patricia Santoro Kerregan, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1740603869
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1200468 Issued in OH
Practice address
5642 Hamilton Ave
Cincinnati, OH 45224-3114
Phone
(513) 636-9900
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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 I.1200468 OH Primary

Addresses

Primary practice location

5642 Hamilton Ave
Cincinnati, OH 45224-3114

Mailing address

5642 Hamilton Ave
Cincinnati, OH 45224-3114
Phone (513) 636-9900

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
I20140331002036 OH Practitioner - Clinical Social Worker 6103057310 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1200468OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center CurrentSince Feb 24, 2014 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

5642 Hamilton Ave
Cincinnati, OH 45224
Phone (513) 636-0800

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

Organizations & group practices 1

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": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1740603869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452243114",
            "telephone_number": "513-636-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452243114",
            "telephone_number": "513-636-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERREGAN",
        "first_name": "PATRICIA",
        "middle_name": "SANTORO",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.