Active NPI
Tricia Annette Podkowa, LSW
- Social Worker
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S1302116
- Practice address
- 103 W Market St
Warren, OH 44481-1017 - Phone
- (330) 394-8831
- NPI assigned
- Jun 20, 2018
- Last updated
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1302116 | OH | Primary |
Addresses
Primary practice location
103 W Market St
Warren, OH 44481-1017
Mailing address
103 West Market St
Warren, OH 44481
Phone (330) 394-8831
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 W Market St
Warren, OH 44481-1017
Phone (330) 394-8831
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1302116 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Professional Services, Inc. | Social Worker | Current | Accepting new patients |
Locations
5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875
3920 Lovers Ln
Ravenna, OH 44266
Phone (330) 676-8045
3922 Lovers Ln
Ravenna, OH 44266
Phone (330) 296-3555
103 W Market St
Warren, OH 44481
Phone (330) 392-1100
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, 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": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1811481138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 WEST MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "44481",
"telephone_number": "330-394-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444811017",
"telephone_number": "330-394-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODKOWA",
"first_name": "TRICIA",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1302116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.