Active NPI
Elizabeth Wilhelmina Niese, LSW
- Social Worker
- Ottawa, OH
National Provider Identifier
1891459459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005431
- Practice address
- 1925 E 4TH St
Ottawa, OH 45875-1540 - Phone
- (419) 999-2010
- Fax
- (419) 999-6284
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2005431 | OH | Primary |
Addresses
Primary practice location
1925 E 4TH St
Ottawa, OH 45875-1540
Mailing address
1100 Shawnee Rd
Lima, OH 45805-3529
Phone (419) 999-2010
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.2005431 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1891459459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAWNEE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458053529",
"telephone_number": "419-999-2010",
"fax_number": "419-999-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 E 4TH ST",
"city": "OTTAWA",
"state": "OH",
"postal_code": "458751540",
"telephone_number": "419-999-2010",
"fax_number": "419-999-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIESE",
"first_name": "ELIZABETH",
"middle_name": "WILHELMINA",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.