NPIMap

Organization Active NPI

Collaborative Wellness LLC

  • Social Worker
  • Worthington, OH
National Provider Identifier
1952966418
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
COLLABORATIVE WELLNESS LLC
Practice address
6797 N High St
Worthington, OH 43085-2533
Phone
(614) 905-7966
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Keisha Savage, LISWNPI 1679044465
Title
Owner
Phone
(614) 905-7966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

6797 N High St
Worthington, OH 43085-2533

Mailing address

3279 Indianola Ave
Columbus, OH 43202-1364

National Provider Directory

National Provider Directory

Locations

6797 N High St
Worthington, OH 43085
Phone (614) 436-5030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1952966418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3279 INDIANOLA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533",
            "telephone_number": "614-905-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-905-7966",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.