Individual provider Active NPI

Erin V Bryant, LISW

  • Social Worker
  • Pickerington, OH
National Provider Identifier
1861622342
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I1100191 Issued in OH
Practice address
647 Hill Rd N
Suite B
Pickerington, OH 43147-9168
Phone
(614) 833-6900
Fax
(614) 833-6903
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I1100191 OH Primary

Addresses

Primary practice location

647 Hill Rd N
Suite B
Pickerington, OH 43147-9168

Mailing address

647 Hill Rd N
Suite B
Pickerington, OH 43147-9168
Phone (614) 833-6900

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
I20110922000420 OH Practitioner - Clinical Social Worker 5294906236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

647 Hill Rd N
Suite B
Pickerington, OH 43147-9347
Phone (614) 833-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1100191OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Behavioral Health, LLC CurrentSince Jan 1, 2015 Accepting new patients
River Valley Counseling, LLC PastSince Mar 1, 2006 Accepting new patients

Locations

711 N Columbus St
Ste 100
Lancaster, OH 43130
Phone (740) 653-6500

647 Hill Rd N
Ste B
Pickerington, OH 43147
Phone (614) 833-6900

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1861622342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 HILL RD N",
            "address_2": "SUITE B",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479168",
            "telephone_number": "614-833-6900",
            "fax_number": "614-833-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 HILL RD N",
            "address_2": "SUITE B",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479168",
            "telephone_number": "614-833-6900",
            "fax_number": "614-833-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ERIN",
        "middle_name": "V",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I1100191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.