Active NPI
Bernadette A. Makosky, L.I.S.W.
- Clinical Social Worker
- Lancaster, OH
National Provider Identifier
1962497008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.100840
- Practice address
- 337 E Main St
Lancaster, OH 43130-3845 - Phone
- (740) 407-3213
- Fax
- (740) 785-5189
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.100840 | OH | Primary |
Addresses
Primary practice location
337 E Main St
Lancaster, OH 43130-3845
Mailing address
2020 N Glenn Dr NE
Lancaster, OH 43130-9759
Phone (740) 407-3213
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272168000 | Other | IA | AETNA |
| 272168000 | Other | IA | MAGELLAN |
| 36075 | Other | IA | BLUE CROSS/BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181128002816 | OH | Practitioner - Clinical Social Worker | 5395780654 | Practice locations: Lancaster, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.100840 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541203200000",
"number": "1962497008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 N GLENN DR NE",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431309759",
"telephone_number": "740-407-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 E MAIN ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303845",
"telephone_number": "740-407-3213",
"fax_number": "740-785-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKOSKY",
"first_name": "BERNADETTE",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "L.I.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2018-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.100840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "272168000",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "272168000",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "36075",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.