Individual provider Active NPI

Katie Marie Duvelius, LSW

  • Social Worker
  • Columbus, OH
National Provider Identifier
1902544943
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2207554 Issued in OH
Practice address
8351 N High St Ste 155
Columbus, OH 43235-1409
Phone
(614) 664-3595
Fax
(614) 664-3595
NPI assigned
May 20, 2022
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2207554 OH Primary

Addresses

Primary practice location

8351 N High St Ste 155
Columbus, OH 43235-1409

Mailing address

1918 Willoway Cir S
Columbus, OH 43220-7527

Other names 1

  • Katie Marie Truxall Former name

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
S.2207554OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Providers for Healthy Living CurrentSince Sep 5, 2023 Accepting new patients
Providers for Healthy Living PastSince May 1, 2022 Accepting new patients

Locations

8351 N High St
Ste 155
Columbus, OH 43235
Phone (614) 664-3595

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, 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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1902544943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 WILLOWAY CIR S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 N HIGH ST STE 155",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351409",
            "telephone_number": "614-664-3595",
            "fax_number": "614-664-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVELIUS",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2207554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "TRUXALL",
            "middle_name": "MARIE",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.