Organization Active NPI

Nancy Robinson-Berry, LCSW, PLLC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1740842400
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NANCY ROBINSON-BERRY, LCSW, PLLC
Practice address
1403 S 4TH St
Columbus, OH 43207-1010
Phone
(330) 464-0364
NPI assigned
Jul 2, 2019
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Nancy Lyn Robinson-Berry, LCSWNPI 1366630204
Title
Psychotherapist
Phone
(330) 464-0364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1403 S 4TH St
Columbus, OH 43207-1010

Mailing address

1403 S 4TH St
Columbus, OH 43207-1010
Phone (330) 464-0364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122003210 OH Part B Supplier - Clinic/Group Practice 0345672077 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1740842400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071010",
            "telephone_number": "330-464-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071010",
            "telephone_number": "330-464-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY ROBINSON-BERRY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON-BERRY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "330-464-0364",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.