Individual provider Active NPI

Cheryl Dury, LCSW,ATR

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1821384124
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17744 Issued in ME
Practice address
2606 Trotterslane Dr
Columbus, OH 43235-5545
Phone
(207) 706-6148
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007920 CT
Clinical Social Worker 1041C0700X I.2204054 OH
Clinical Social Worker 1041C0700X LC17744 ME Primary

Addresses

Primary practice location

2606 Trotterslane Dr
Columbus, OH 43235-5545

Mailing address

1822 Henderson Rd Unit 20618
Columbus, OH 43220-8027
Phone (207) 706-6148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191125002558 ME Practitioner - Clinical Social Worker 5496907651 Practice locations: Camden, ME
I20230621000306 OH Practitioner - Clinical Social Worker 5496907651 Reassigns benefits to 1 organization
Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2606 Trotterslane Dr
Columbus, OH 43235-5545
Phone (207) 706-6458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007920CTMDClinical Social Worker
LC17744MEMDClinical Social Worker
I.2204054OHMDClinical Social Worker
029924NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
PBJ Connections, Inc. Clinical CurrentSince Aug 1, 2024 Accepting new patients
Psychological Evaluations and Consulting, LLC Past Accepting new patients
Psychological Evaluations & Consulting Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1821384124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 HENDERSON RD UNIT 20618",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432208027",
            "telephone_number": "207-706-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 TROTTERSLANE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355545",
            "telephone_number": "207-706-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURY",
        "first_name": "CHERYL",
        "credential": "LCSW,ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007920",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204054",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.