Active NPI
Cisty Jane Karacia, MSSW, LISW
- Clinical Social Worker
- Centerville Finance, OH
National Provider Identifier
1871505115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-0006057
- Practice address
- 23 Irongate Park Dr
Centerville Finance, OH 45459-4616 - Phone
- (937) 436-1600
- Fax
- (937) 436-2467
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0006057 | OH | Primary |
Addresses
Primary practice location
23 Irongate Park Dr
Centerville Finance, OH 45459-4616
Mailing address
23 Irongate Park Dr
Centerville Finance, OH 45459-4616
Phone (937) 436-1600
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000019121 | Other | OH | ANTHEM |
| NK728 | Other | OH | EMPIRE BC/BS |
| 000000019121 | Other | OH | ANTHEM BENEFIT ADMINISTRA |
| 6274245 | Other | OH | UNITEDBEHAVIORALHEALTH |
| 6280813 | Other | OH | UNITEDHEALTHCARE |
| 3114096635001 | Other | OH | TRIGON BC/BS |
| D6057M | Other | OH | TRIHEALTH CLAIMS ADMINIST |
| 115663 | Other | OH | COMPSYCH |
| 4388674 | Other | OH | AETNA |
| 246674 | Other | OH | MHN |
| 9412949 | Other | OH | PHCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-0006057 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871505115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 IRONGATE PARK DR",
"city": "CENTERVILLE FINANCE",
"state": "OH",
"postal_code": "454594616",
"telephone_number": "937-436-1600",
"fax_number": "937-436-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 IRONGATE PARK DR",
"city": "CENTERVILLE FINANCE",
"state": "OH",
"postal_code": "454594616",
"telephone_number": "937-436-1600",
"fax_number": "937-436-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARACIA",
"first_name": "CISTY",
"middle_name": "JANE",
"credential": "MSSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-0006057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000019121",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "NK728",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BENEFIT ADMINISTRA",
"identifier": "000000019121",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDBEHAVIORALHEALTH",
"identifier": "6274245",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "6280813",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON BC/BS",
"identifier": "3114096635001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIHEALTH CLAIMS ADMINIST",
"identifier": "D6057M",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "115663",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4388674",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "246674",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9412949",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville Finance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.