Individual provider Active NPI

Felicia L Phelps, MSSA LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1962624163
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0008220-SUPV Issued in OH
Practice address
5330 E Main St Ste 100B
Columbus, OH 43213-2571
Phone
(614) 626-0034
Fax
(614) 230-2316
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 I.0008220-SUPV OH Primary

Addresses

Primary practice location

5330 E Main St Ste 100B
Columbus, OH 43213-2571

Mailing address

419 Glacierview Dr
Youngstown, OH 44509-1928
Phone (614) 288-9895

Other identifiers 2

IdentifierTypeStateIssuer
0255670MedicaidOH
I.0008220-SUPVOtherOHCSWMFT BOARD

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
I20230706002554 OH Practitioner - Clinical Social Worker 8022477231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0008220-SUPVOHMDClinical Social Worker

Organizations & group practices 1

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1962624163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 GLACIERVIEW DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091928",
            "telephone_number": "614-288-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 E MAIN ST STE 100B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132571",
            "telephone_number": "614-626-0034",
            "fax_number": "614-230-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "FELICIA",
        "middle_name": "L",
        "credential": "MSSA LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0008220-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255670",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSWMFT BOARD",
            "identifier": "I.0008220-SUPV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.