Individual provider Active NPI

Kamaria Tyehimba, LISW/LICDC

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1821231119
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0005441-SUPV Issued in OH
Practice address
3009 Burnet Ave
Cincinnati, OH 45219-2419
Phone
(513) 751-7747
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.912929 OH
Social Worker 104100000X I.0005441-SUPV OH Primary

Addresses

Primary practice location

3009 Burnet Ave
Cincinnati, OH 45219-2419

Mailing address

2600 Victory Pkwy
Cincinnati, OH 45206-1395
Phone (513) 751-7747

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
I20260219002171 OH Practitioner - Clinical Social Worker 8426286519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 Victory Pkwy
Cincinnati, OH 45206-1395

2600 Victory Pkwy
Cincinnati, OH 45206-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.912929OHMDAddiction (Substance Use Disorder) Counselor
I.0005441-SUPVOHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House CurrentSince Dec 17, 2022 Accepting new patients

Locations

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

3009 Burnet Ave
Cincinnati, OH 45219
Phone (513) 242-7164

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1821231119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061395",
            "telephone_number": "513-751-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192419",
            "telephone_number": "513-751-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYEHIMBA",
        "first_name": "KAMARIA",
        "credential": "LISW/LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.912929",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0005441-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.