Organization Active NPI

Blue Skyy Therapeutic Services, LLC

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1972111656
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUE SKYY THERAPEUTIC SERVICES, LLC
Practice address
10901 Reed Hartman Hwy Ste 109
Blue Ash, OH 45242-2847
Phone
(513) 351-1402
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Leah M Steverson, LISWNPI 1568923019
Title
Executive Director
Phone
(513) 720-0075

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10901 Reed Hartman Hwy Ste 109
Blue Ash, OH 45242-2847

Mailing address

10901 Reed Hartman Hwy Ste 109
Blue Ash, OH 45242-2847
Phone (513) 720-0075

Other identifiers 1

IdentifierTypeStateIssuer
0341119MedicaidOH

National Provider Directory

National Provider Directory

Locations

10901 Reed Hartman Hwy
Ste 109
Blue Ash, OH 45242
Phone (513) 351-1402

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": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1972111656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 REED HARTMAN HWY STE 109",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422847",
            "telephone_number": "513-720-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 REED HARTMAN HWY STE 109",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422847",
            "telephone_number": "513-351-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKYY THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "STEVERSON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-720-0075",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341119",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.