Individual provider Active NPI

Jeremy Bilby

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1821542093
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102560 Issued in OH
Practice address
8595 Beechmont Ave Ste 310
Cincinnati, OH 45255-5109
Phone
(513) 693-9807
Fax
(513) 388-0254
NPI assigned
Aug 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-09556 NM
Clinical Social Worker 1041C0700X I.2102560 OH Primary

Addresses

Primary practice location

8595 Beechmont Ave Ste 310
Cincinnati, OH 45255-5109

Mailing address

8115 Forest Rd
Cincinnati, OH 45255-4406
Phone (513) 693-9807

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
I20211021001605 OH Practitioner - Clinical Social Worker 9931476389 Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-09556NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1821542093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 FOREST RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554406",
            "telephone_number": "513-693-9807",
            "fax_number": "513-388-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE STE 310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452555109",
            "telephone_number": "513-693-9807",
            "fax_number": "513-388-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILBY",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09556",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.