Individual provider Active NPI

Christie Lynn Rush, LISW

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1871096008
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304806 Issued in OH
Practice address
646 Garry Rd
Akron, OH 44305-1758
Phone
(330) 310-7343
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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.2304806 OH Primary

Addresses

Primary practice location

646 Garry Rd
Akron, OH 44305-1758

Mailing address

646 Garry Rd
Akron, OH 44305-1758
Phone (330) 310-7343

Other practice location 1

2275 State Route 59
Kent, OH 44240-7143
Phone (330) 593-5959

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
I20231031000377 OH Practitioner - Clinical Social Worker 8426404286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Reeves Memorial Foundation CurrentSince Jul 1, 2024 Accepting new patients

Locations

2275 State Route 59
Kent, OH 44240
Phone (330) 593-5959

Organizations & group practices 1

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1871096008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 GARRY RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443051758",
            "telephone_number": "330-310-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 GARRY RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443051758",
            "telephone_number": "330-310-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 State Route 59",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442407143",
            "country_code": "US",
            "telephone_number": "330-593-5959",
            "fax_number": "330-315-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "CHRISTIE",
        "middle_name": "LYNN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.