Active NPI
Cheryl Dury, LCSW,ATR
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1821384124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC17744
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007920 | CT | MD | Clinical Social Worker |
| LC17744 | ME | MD | Clinical Social Worker |
| I.2204054 | OH | MD | Clinical Social Worker |
| 029924 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBJ Connections, Inc. | Clinical | Current | 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.
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- Clinical Social Worker
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- NPI 1821302654
-
- Clinical Psychologist
- Bedford Hills, NY
- NPI 1467764480
-
- Clinical Neuropsychologist
- Bedford Hills, NY
- NPI 1114234853
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.