A & E Behavioral Healthcare PLLC
Organization Active NPI Clinical Social Worker · Columbus, OH
NPI 1760375778 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1760375778
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- A & E BEHAVIORAL HEALTHCARE PLLC
- Practice address
- 170 Northwoods Blvd Ste 210
Columbus, OH 43235-4711 - Phone
- (509) 204-7249
- NPI assigned
- May 29, 2025
- Organization subpart
- No
Authorized official
- Name
- Rudesta Edwards-Ugiomoh, LISW, MSW
- Title
- Licensed Independent Social Worker
- Phone
- (509) 204-7249
Practitioners 2
-
Rudesta Edwards-Ugiomoh, LISW, LSCSW, LSWIC
-
Kawanis Denise Scott, LSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in KS, OH, IL, VA, WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250806002340 | KS | Part B Supplier - Clinic/Group Practice | 5092223347 |
Receives reassigned benefits from 1 practitioner Practice locations: Salina, KS |
| O20250808002870 | OH | Part B Supplier - Clinic/Group Practice | 5092223347 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbus, OH |
| O20251208003138 | IL | Part B Supplier - Clinic/Group Practice | 5092223347 |
Receives reassigned benefits from 1 practitioner Practice locations: Chicago, IL |
| O20251211003674 | VA | Part B Supplier - Clinic/Group Practice | 5092223347 |
Receives reassigned benefits from 1 practitioner Practice locations: Richmond, VA |
| O20251217004601 | WA | Part B Supplier - Clinic/Group Practice | 5092223347 |
Receives reassigned benefits from 1 practitioner Practice locations: Spokane, WA |
National Provider Directory
Locations
1130 S Canal St
Ste 1493
Chicago, IL 60607
Phone (855) 232-4482
170 Northwoods Blvd
Ste 200
Columbus, OH 43235
Phone (855) 232-4482
170 Northwoods Blvd
Ste 20
Columbus, OH 43235
Phone (614) 635-9606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
170 Northwoods Blvd Ste 210
Columbus, OH 43235-4711
Mailing address
170 Northwoods Blvd Ste 210
Columbus, OH 43235-4711
Phone (509) 204-7249
Other practice location 1
100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (509) 204-7249
Other names
- A & E
- AEBHcare
Other providers in Columbus, OH
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- 614 Health and Wellness Services
- 614 Smiles, Victoria Blem, DDS
- A & D Medical Supply Group, LLC
- A & K Health Healthcare Consultants
- A & R Behavioral Health Inc
- A & R Optimal Health Services LLC
- A American Home Health Care Experts, Inc.
- A Better Choice Care LLC
All providers in Columbus, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.