Individual provider Active NPI

Skylar Weisenborn, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1790295145
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002268 Issued in OH
Practice address
5050 Madison Rd
Cincinnati, OH 45227
Phone
(513) 272-2800
Fax
(513) 272-2807
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 1701544 OH
Clinical Social Worker 1041C0700X I.2002268 OH Primary

Addresses

Primary practice location

5050 Madison Rd
Cincinnati, OH 45227

Mailing address

5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 272-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250520001701 OH Practitioner - Clinical Social Worker 1759809015 Reassigns benefits to 1 organization
I20250521003197 IN Practitioner - Clinical Social Worker 1759809015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Anxiety Center LLCGroup PAC ID 2668915059, 11 clinicians

Practice addresses (Care Compare)

11085 Montgomery Rd
Suite 250
Cincinnati, OH 45249-2395
Phone (937) 884-1087

7340 Crossing PL
Fishers, IN 46038-2708
Phone (463) 219-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1701544OHMDClinical Social Worker
I.2002268OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Anxiety Center LLC CurrentSince May 1, 2025 Accepting new patients
The Anxiety Center LLC CurrentSince May 1, 2025 Accepting new patients

Locations

7340 Crossing Pl
Ste 100
Fishers, IN 46038
Phone (317) 938-3327

7340 Crossing Pl
Fishers, IN 46038
Phone (463) 219-1202

11085 Montgomery Rd
Ste 250
Montgomery, OH 45249
Phone (513) 547-2861

2331 Far Hills Ave
Ste 300
Oakwood, OH 45419
Phone (937) 884-1087

Organizations & group practices 2

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1790295145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271491",
            "telephone_number": "513-272-2800",
            "fax_number": "513-272-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45227",
            "telephone_number": "513-272-2800",
            "fax_number": "513-272-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBORN",
        "first_name": "SKYLAR",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1701544",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.