Individual provider Active NPI

Sean Christopher Ogletree, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1811354038
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405157 Issued in OH
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2910854MedicaidOH

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
I20240412003531 OH Practitioner - Clinical Social Worker 3870966971 Reassigns benefits to 1 organization
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150803OHMDAddiction (Substance Use Disorder) Counselor
2105942OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ogletree Supportive Services LLC Social Worker CurrentSince Mar 16, 2024 Accepting new patients
MKS Recovery Inc Single Specialty CurrentSince Mar 22, 2024 Accepting new patients
MKS Solutions LLC Addiction (Substance Use Disorder) PastSince Mar 30, 2025 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.

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

Verify at the official NPI Registry.