Individual provider Active NPI

Sarah Gail Simone, MSSW, LISW

  • Clinical Social Worker
  • Pickerington, OH
National Provider Identifier
1801840418
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009635 Issued in OH
Practice address
60 W Columbus St
Pickerington, OH 43147-1256
Phone
(614) 837-0063
Fax
(614) 837-0112
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0009635 OH Primary

Addresses

Primary practice location

60 W Columbus St
Pickerington, OH 43147-1256

Mailing address

60 W Columbus St
Pickerington, OH 43147-1256
Phone (614) 837-0063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000196 OH Practitioner - Clinical Social Worker 6800832171 Practice locations: Pickerington, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 W Columbus St
Pickerington, OH 43147-1256
Phone (614) 425-8617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009635OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1801840418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W COLUMBUS ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471256",
            "telephone_number": "614-837-0063",
            "fax_number": "614-837-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W COLUMBUS ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471256",
            "telephone_number": "614-837-0063",
            "fax_number": "614-837-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "SARAH",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "MSSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.