Active NPI
Colette Larson, MSW, LISW-S
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1841627502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4633 Aicholtz Rd.
Cincinnati, OH 45244-4524 - Phone
- (513) 752-1555
- Fax
- (513) 752-1555
- NPI assigned
- Sep 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4633 Aicholtz Rd.
Cincinnati, OH 45244-4524
Mailing address
4629 Aicholtz Rd.
Cincinnati, OH 45244-1557
Phone (513) 752-1555
Other practice location 1
551 Cincinnati Batavia Pike
Cincinnati, OH 45244-1518
Phone (513) 752-1555
Other practice location 2
549 W Main St Ste B
Williamsburg, OH 45176-1120
Phone (513) 724-8555 ext. 13
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31-0952668 | Medicaid | OH |
Other names 1
- Colette Ryan
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1841627502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 AICHOLTZ RD.",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452441557",
"telephone_number": "513-752-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 AICHOLTZ RD.",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452444524",
"telephone_number": "513-752-1555",
"fax_number": "513-752-1555"
}
],
"practiceLocations": [
{
"address_1": "551 Cincinnati Batavia Pike",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452441518",
"country_code": "US",
"telephone_number": "513-752-1555",
"fax_number": "513-752-1555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "549 W Main St Ste B",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "OH",
"postal_code": "451761120",
"country_code": "US",
"telephone_number": "513-724-8555 x13",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "COLETTE",
"credential": "MSW, LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31-0952668",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLETTE",
"last_name": "RYAN",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.