Individual provider Active NPI

Lybra Renae Watson, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1861165631
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102811 Issued in OH
Practice address
5936 Glenway Ave
Cincinnati, OH 45238-2009
Phone
(513) 922-1660
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 I.2102811 OH Primary

Addresses

Primary practice location

5936 Glenway Ave
Cincinnati, OH 45238-2009

Mailing address

1121 Broadway St Apt 3
Cincinnati, OH 45202-7379
Phone (614) 419-9751

Other practice location 1

3219 Clifton Ave Ste 225
Cincinnati, OH 45220-3043
Phone (513) 862-4957

Other practice location 2

6200 Pfeiffer Rd
Montgomery, OH 45242-5862
Phone (513) 862-4957

Other identifiers 1

IdentifierTypeStateIssuer
0462231MedicaidOH

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
I20220107001813 OH Practitioner - Clinical Social Worker 1456743145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

6200 Pfeiffer Rd
Suite 360
Montgomery, OH 45242-5861
Phone (513) 862-4957

7810 5 Mile Rd
Cincinnati, OH 45230-2356
Phone (513) 246-7000

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2102811OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Jan 1, 2022 Accepting new patients
Cincinnati Counseling Service, Inc. Clinical CurrentSince Dec 9, 2021 Accepting new patients

Locations

5936 Glenway Ave
Cincinnati, OH 45238

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

5520 Harrison Ave
Ste D
Cincinnati, OH 45248
Phone (513) 860-1100

3219 Clifton Ave
Ste 225
Cincinnati, OH 45220
Phone (513) 624-0999

6200 Pfeiffer Rd
Montgomery, OH 45242
Phone (513) 891-3373

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1861165631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 BROADWAY ST APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027379",
            "telephone_number": "614-419-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5936 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382009",
            "telephone_number": "513-922-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3219 Clifton Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452203043",
            "country_code": "US",
            "telephone_number": "513-862-4957",
            "fax_number": "513-862-4952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Pfeiffer Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452425862",
            "country_code": "US",
            "telephone_number": "513-862-4957",
            "fax_number": "513-862-4952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LYBRA",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.