Individual provider Active NPI

Arianne Relliford, LISW-S

  • Clinical Social Worker
  • West Carrollton, OH
National Provider Identifier
1922532365
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1801199 Issued in OH
Practice address
700 Liberty LN
West Carrollton, OH 45449-2135
Phone
(614) 844-3800
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 1801199 OH Primary

Addresses

Primary practice location

700 Liberty LN
West Carrollton, OH 45449-2135

Mailing address

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800

Other identifiers 1

IdentifierTypeStateIssuer
0413077MedicaidOH

Other names 1

  • Arianne Koon 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
I20221004001449 OH Practitioner - Clinical Social Worker 1850777558 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1801199OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boundless Health, Inc. CurrentSince Aug 2, 2022 Accepting new patients
I Am Boundless, Inc CurrentSince Aug 1, 2023 Accepting new patients
I Am Boundless, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Boundless Health, Inc. CurrentSince Aug 2, 2022 Accepting new patients
Boundless Health, Inc. Current Accepting new patients
TCN Behavioral Health Services, Inc. Social Worker Past Accepting new patients

Locations

140 W Church St
Newark, OH 43055
Phone (740) 334-4056

700 Liberty Ln
West Carrollton, OH 45449
Phone (937) 247-2400

445 E Granville Rd
Ste G
Worthington, OH 43085
Phone 61484438002224

445 E Dublin Granville Rd
Worthington, OH 43085
Phone (614) 844-3100

445 E Dublin Granville Rd
Ste H
Worthington, OH 43085

Interoperability endpoints

  • Direct secure messaging: arianne.relliford.p1@direct.iamboundless.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1922532365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-844-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LIBERTY LN",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454492135",
            "telephone_number": "614-844-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLIFORD",
        "first_name": "ARIANNE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1801199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413077",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIANNE",
            "last_name": "KOON",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Carrollton, OH

Sources for this page

Verify at the official NPI Registry.