NPIMap

Organization Active NPI

Radiant Wellbeing, LLC

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1891065165
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I26803 Issued in OH
Legal business name
RADIANT WELLBEING, LLC
Practice address
571 High St
Worthington, OH 43085-4132
Phone
(614) 975-4960
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Roxanne CroccoNPI 1487665170
Title
Owner
Phone
(614) 975-4960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I26803 OH Primary

Addresses

Primary practice location

571 High St
Worthington, OH 43085-4132

Mailing address

1042 Clubview Blvd N
Columbus, OH 43235-1222
Phone (614) 975-4960

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1891065165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 CLUBVIEW BLVD N",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351222",
            "telephone_number": "614-975-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854132",
            "telephone_number": "614-975-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT WELLBEING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "CROCCO",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-975-4960"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I26803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.