Individual provider Active NPI

James Foley, LISW-S

  • Clinical Social Worker
  • Wooster, OH
National Provider Identifier
1912195363
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I7261-SUPV Issued in OH
Practice address
4419 Cleveland Rd
Wooster, OH 44691-1233
Phone
(330) 345-8450
Fax
(330) 345-5899
NPI assigned
Oct 11, 2007
Last updated
Mar 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I7261-SUPV OH Primary

Addresses

Primary practice location

4419 Cleveland Rd
Wooster, OH 44691-1233

Mailing address

4419 Cleveland Rd
Wooster, OH 44691-1233
Phone (330) 345-8450

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
I20080414000061 OH Practitioner - Clinical Social Worker 6406933506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chrysalis Family Solutions LLCGroup PAC ID 3971850660, 6 clinicians

Practice addresses (Care Compare)

201 E Liberty St
Suite 140
Wooster, OH 44691-4325
Phone (330) 439-5651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I7261-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Family Solutions, LLC CurrentSince Nov 8, 2022 Accepting new patients
Psychology Consultants Inc Clinical PastSince Nov 7, 1997 Accepting new patients

Locations

201 E Liberty St
Ste 140
Wooster, OH 44691
Phone (330) 439-5651

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1912195363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911233",
            "telephone_number": "330-345-8450",
            "fax_number": "330-345-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911233",
            "telephone_number": "330-345-8450",
            "fax_number": "330-345-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "JAMES",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I7261-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.