Individual provider Active NPI

Elizabeth Roese

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1760834998
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S1500563 Issued in OH
Practice address
2222 Vine St
Cincinnati, OH 45219-1828
Phone
(513) 381-5900
Fax
(513) 381-5959
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 S1500563 OH Primary

Addresses

Primary practice location

2222 Vine St
Cincinnati, OH 45219-1828

Mailing address

2222 Vine St
Cincinnati, OH 45219-1828
Phone (513) 381-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20240221001509 OH Practitioner - Clinical Social Worker 8022452788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1500563OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House CurrentSince Dec 23, 2023 Accepting new patients

Locations

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

4968 Glenway Ave
Cincinnati, OH 45238
Phone (513) 471-6000

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1760834998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191828",
            "telephone_number": "513-381-5900",
            "fax_number": "513-381-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191828",
            "telephone_number": "513-381-5900",
            "fax_number": "513-381-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1500563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.