Individual provider Active NPI

Nina Pridonoff, LISW

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1902233091
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506951 Issued in OH
Practice address
9395 Kenwood Rd Ste 100
Blue Ash, OH 45242-6819
Phone
(513) 469-1188
NPI assigned
Oct 3, 2013
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X S.1701323 OH
Clinical Social Worker 1041C0700X I.2506951 OH Primary

Addresses

Primary practice location

9395 Kenwood Rd Ste 100
Blue Ash, OH 45242-6819

Mailing address

9395 Kenwood Rd Ste 100
Blue Ash, OH 45242-6819
Phone (134) 691-1885

Other identifiers 1

IdentifierTypeStateIssuer
00089099MedicaidNY

Other names 1

  • Nina Siegal Former name

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
I20251218000754 OH Practitioner - Clinical Social Worker 7911492897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindfully LLCGroup PAC ID 3476606252, 66 clinicians

Practice addresses (Care Compare)

8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2908
Phone (888) 830-0347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1701323OHMDSocial Worker
I.2506951OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of the Cincinnati Area Single Specialty CurrentSince Mar 6, 2022 Accepting new patients
Jewish Family Service of the Cincinnati Area Clinical CurrentSince Mar 31, 2024 Accepting new patients
Mindfully, LLC Social Worker CurrentSince Oct 10, 2025 Accepting new patients
Mindfully, LLC Social Worker CurrentSince Oct 10, 2025 Accepting new patients

Locations

9395 Kenwood Rd
Ste 100
Blue Ash, OH 45242
Phone (513) 469-1188

8040 Hosbrook Rd
Ste 320
Cincinnati, OH 45236
Phone (513) 861-9797

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1902233091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9395 KENWOOD RD STE 100",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426819",
            "telephone_number": "134-691-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9395 KENWOOD RD STE 100",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426819",
            "telephone_number": "513-469-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDONOFF",
        "first_name": "NINA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1701323",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00089099",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "SIEGAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.