Individual provider Active NPI

Gretchen L Dorman, LCSW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1831362391
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5277 Issued in TN
Practice address
4000 Smith Rd Ste 175
Cincinnati, OH 45209-1968
Phone
(513) 533-6100
Fax
(513) 533-6105
NPI assigned
Apr 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5277 TN Primary

Addresses

Primary practice location

4000 Smith Rd Ste 175
Cincinnati, OH 45209-1968

Mailing address

4000 SMTH Rd
Suite 175
Cincinnati, OH 45209
Phone (513) 533-6100

Other identifiers 1

IdentifierTypeStateIssuer
Q001556MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5277TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Englender Sper & Drasnin, M.D.'S Inc PastSince Dec 13, 2020 Accepting new patients
Children'S Hospital Medical Center PastSince Dec 13, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1200/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gretchen.dorman.1@1200.direct.athenahealth.com

Organizations & group practices 2

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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1831362391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SMTH RD",
            "address_2": "SUITE 175",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45209",
            "telephone_number": "513-533-6100",
            "fax_number": "513-533-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SMITH RD STE 175",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091968",
            "telephone_number": "513-533-6100",
            "fax_number": "513-533-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "GRETCHEN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001556",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.