Individual provider Active NPI

Carla Tamplin, MSW, LISW

  • Clinical Social Worker
  • Springfield, OH
National Provider Identifier
1881130904
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002025 Issued in OH
Practice address
2610 Springfield Xenia Rd.
Springfield, OH 45506
Phone
(937) 598-9876
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1100854 OH
Clinical Social Worker 1041C0700X I.2002025 OH Primary

Addresses

Primary practice location

2610 Springfield Xenia Rd.
Springfield, OH 45506

Mailing address

2610 Springfield Xenia Rd.
Springfield, OH 45506
Phone (937) 598-9876

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S1100854OHMDSocial Worker
I.2002025OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Clinical Past Accepting new patients
Wellspring Past Accepting new patients

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1881130904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 SPRINGFIELD XENIA RD.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45506",
            "telephone_number": "937-598-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 SPRINGFIELD XENIA RD.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45506",
            "telephone_number": "937-598-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMPLIN",
        "first_name": "CARLA",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1100854",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.