Individual provider Active NPI

Jason Foley, LISW

  • Clinical Social Worker
  • Dublin, OH
National Provider Identifier
1871008987
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700108 Issued in OH
Practice address
7243 Sawmill Rd Ste 105
Dublin, OH 43016
Phone
(614) 634-2405
Fax
(614) 389-3841
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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.1700108 OH Primary

Addresses

Primary practice location

7243 Sawmill Rd Ste 105
Dublin, OH 43016

Mailing address

7652 Sawmill Rd Ste 311
Dublin, OH 43016-9296
Phone (614) 634-2405

Other practice location 1

474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500

Other practice location 2

7243 Sawmill Rd Ste 105
Dublin, OH 43016
Phone (614) 634-2405

Other identifiers 1

IdentifierTypeStateIssuer
1871008987MedicaidOH

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
I20180109003305 OH Practitioner - Clinical Social Worker 1052670429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

169 S Liberty St
Powell, OH 43065-7619
Phone (614) 634-2405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1700108OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Network LLC CurrentSince May 29, 2019 Accepting new patients
Integrative Health Network LLC Current Accepting new patients

Locations

7652 Sawmill Rd
Dublin, OH 43016
Phone (614) 390-2764

7243 Sawmill Rd
Ste 105
Dublin, OH 43016
Phone (614) 389-3814

169 S Liberty St
Powell, OH 43065
Phone (614) 506-9471

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": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1871008987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 SAWMILL RD STE 311",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169296",
            "telephone_number": "614-634-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 SAWMILL RD STE 105",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "614-634-2405",
            "fax_number": "614-389-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 N Yellow Springs St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042463",
            "country_code": "US",
            "telephone_number": "937-399-9500",
            "fax_number": "937-342-4242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7243 Sawmill Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "43016",
            "country_code": "US",
            "telephone_number": "614-634-2405",
            "fax_number": "614-389-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "JASON",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871008987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.