Active NPI
Devorah Miriam Lederman, L.S.W
- Social Worker
- Columbus, OH
National Provider Identifier
1962750448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1101211
- Practice address
- 1490 E Main St
Columbus, OH 43205-2140 - Phone
- (614) 252-0731
- Fax
- (614) 252-8468
- NPI assigned
- Aug 15, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1101211 | OH | Primary |
Addresses
Primary practice location
1490 E Main St
Columbus, OH 43205-2140
Mailing address
2250 Waters Edge Blvd
Columbus, OH 43209-3333
Phone (612) 834-0395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1101211 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1962750448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 WATERS EDGE BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432093333",
"telephone_number": "612-834-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052140",
"telephone_number": "614-252-0731",
"fax_number": "614-252-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "DEVORAH",
"middle_name": "MIRIAM",
"credential": "L.S.W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1101211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.