Individual provider Active NPI

Anna Eckles, LSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1831879170
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2207372 Issued in OH
Practice address
1335 Dublin Rd Ste 212C
Columbus, OH 43215-7045
Phone
(614) 437-9910
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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 S.2207372 OH Primary

Addresses

Primary practice location

1335 Dublin Rd Ste 212C
Columbus, OH 43215-7045

Mailing address

4480 Blythe Rd
Columbus, OH 43224-1139
Phone (513) 739-6810

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.2207372OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Live Wellness Center, LTD. Clinical CurrentSince Jul 23, 2023 Accepting new patients

Locations

1335 Dublin Rd
Ste 212C
Columbus, OH 43215
Phone (614) 437-9910

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1831879170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 BLYTHE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432241139",
            "telephone_number": "513-739-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD STE 212C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157045",
            "telephone_number": "614-437-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLES",
        "first_name": "ANNA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2207372",
            "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 Jul 21, 2023; 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.