Individual provider Active NPI

Sade R Cabell, MSW, LISW, CDCA

  • Social Worker
  • Columbus, OH
National Provider Identifier
1851895379
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2405292 Issued in OH
Practice address
1455 S 4TH St
Columbus, OH 43207-1011
Phone
(614) 444-0800
Fax
(614) 444-1036
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X I.2405292 OH Primary

Addresses

Primary practice location

1455 S 4TH St
Columbus, OH 43207-1011

Mailing address

1455 S 4TH St
Columbus, OH 43207-1011
Phone (614) 444-0800

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
I20240424002509 OH Practitioner - Mental Health Counselor 9335589357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast, Inc CurrentSince Mar 21, 2024 Accepting new patients
Southeast, Inc CurrentSince Mar 21, 2024 Accepting new patients

Locations

1455 S 4th St
Columbus, OH 43207
Phone (614) 444-0800

16 W Long St
Columbus, OH 43215

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1851895379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011",
            "telephone_number": "614-444-0800",
            "fax_number": "614-444-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011",
            "telephone_number": "614-444-0800",
            "fax_number": "614-444-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABELL",
        "first_name": "SADE",
        "middle_name": "R",
        "credential": "MSW, LISW, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2405292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.