Individual provider Active NPI

Liam Aidan Faulkner, MSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1790231678
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304577 Issued in OH
Practice address
944 Kenchester CT
Columbus, OH 43220-4134
Phone
(616) 841-3320
NPI assigned
Aug 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2304577 OH Primary
Clinical Social Worker 1041C0700X 6801103067 MI

Addresses

Primary practice location

944 Kenchester CT
Columbus, OH 43220-4134

Mailing address

944 Kenchester CT
Columbus, OH 43220-4134
Phone (616) 841-3320

Other practice location 1

4572 S Hagadorn Rd # Suie1A
East Lansing, MI 48823
Phone (616) 841-3320

Other practice location 2

4572 S Hagadorn Rd # Suie1A
East Lansing, MI 48823
Phone (616) 841-3320

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801103067MIMDClinical Social Worker
I.2304577OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liam a Faulkner LMSW, LCC Current Accepting new patients

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1790231678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 KENCHESTER CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432204134",
            "telephone_number": "616-841-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 KENCHESTER CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432204134",
            "telephone_number": "616-841-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4572 S Hagadorn Rd # Suie1A",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "616-841-3320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4572 S Hagadorn Rd # Suie1A",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "616-841-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "LIAM",
        "middle_name": "AIDAN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304577",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103067",
            "primary": false
        }
    ],
    "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 2, 2024; 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.