Active NPI
Sean Christopher Ogletree, LISW
- Clinical Social Worker
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2405157
- Practice address
- 3443 Amberway CT
Cincinnati, OH 45251-3310 - Phone
- (513) 310-5683
- Fax
- (216) 412-8049
- NPI assigned
- Jan 19, 2016
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 150803 | OH | |
| Social Worker | 104100000X | 2105942 | OH | |
| Clinical Social Worker | 1041C0700X | I.2405157 | OH | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
3443 Amberway CT
Cincinnati, OH 45251-3310
Mailing address
3443 Amberway CT
Cincinnati, OH 45251-3310
Phone (513) 310-5683
Other practice location 1
10296 Springfield Pike Ste 550
Cincinnati, OH 45215-1194
Phone (513) 942-4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150803 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 2105942 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogletree Supportive Services LLC | Social Worker | Current | Accepting new patients |
| MKS Recovery Inc | Single Specialty | Current | Accepting new patients |
| MKS Solutions LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
155 Tri County Pkwy
Ste 237
Cincinnati, OH 45246
Phone (513) 345-0195
700 Bryden Rd
Ste 200207
Columbus, OH 43215
Phone (513) 345-0195
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sean Ogletree
- Clinical Social Worker
- Cincinnati, OH
- NPI 1679338404
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1306648688
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1811354038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 AMBERWAY CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452513310",
"telephone_number": "513-310-5683",
"fax_number": "216-412-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 AMBERWAY CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452513310",
"telephone_number": "513-310-5683",
"fax_number": "216-412-8049"
}
],
"practiceLocations": [
{
"address_1": "10296 Springfield Pike Ste 550",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452151194",
"country_code": "US",
"telephone_number": "513-942-4555",
"fax_number": "513-326-7356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGLETREE",
"first_name": "SEAN",
"middle_name": "CHRISTOPHER",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-19",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "150803",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "2105942",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2405157",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.