Individual provider Active NPI

Mary Josephine Brett, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1962559864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I104 Issued in OH
Practice address
1560 Fishinger Rd
Columbus, OH 43221-2108
Phone
(614) 457-7876
Fax
(614) 457-7896
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I104 OH Primary

Addresses

Primary practice location

1560 Fishinger Rd
Columbus, OH 43221-2108

Mailing address

3197 Adirondack Ave
Columbus, OH 43231-3121

Other identifiers 1

IdentifierTypeStateIssuer
9000000152155OtherOHANTHEM

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
I20081204000547 OH Practitioner - Clinical Social Worker 4284795543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Healthcare Partners of Central Ohio IncGroup PAC ID 3971499385, 28 clinicians

Practice addresses (Care Compare)

8402 Blackjack Rd Ext
Mount Vernon, OH 43050-9193
Phone (740) 522-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I104OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Partners of Central Ohio Inc CurrentSince Apr 9, 2012 Accepting new patients
Apex Counseling Services, LLC PastSince Sep 19, 2012 Accepting new patients
Apexmeds Past Accepting new patients

Locations

8402 Blackjack Rd
Mount Vernon, OH 43050
Phone (740) 397-0442

65 Messimer Dr
Newark, OH 43055
Phone (740) 788-3400

65 Messimer Dr
Unit 2
Newark, OH 43055
Phone (419) 545-5130

Organizations & group practices 3

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962559864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3197 ADIRONDACK AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432313121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212108",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETT",
        "first_name": "MARY",
        "middle_name": "JOSEPHINE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "9000000152155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.