Individual provider Active NPI

Alter Y Yudin, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1992114300
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1303602 Issued in OH
Practice address
3268 Jefferson Ave
Cincinnati, OH 45220-2220
Phone
(513) 800-3008
Fax
(513) 712-0006
NPI assigned
Aug 11, 2014
Last updated
Jan 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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 I1303602 OH Primary

Addresses

Primary practice location

3268 Jefferson Ave
Cincinnati, OH 45220-2220

Mailing address

3268 Jefferson Ave
Cincinnati, OH 45220-2220
Phone (513) 800-3008

Other practice location 1

130 Wellington Pl
Cincinnati, OH 45219-1710
Phone (513) 891-0650 ext. 340

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

LicenseStateTypeSpecialty
I1303602OHMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1992114300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 JEFFERSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202220",
            "telephone_number": "513-800-3008",
            "fax_number": "513-712-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 JEFFERSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202220",
            "telephone_number": "513-800-3008",
            "fax_number": "513-712-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Wellington Pl",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452191710",
            "country_code": "US",
            "telephone_number": "513-891-0650 x340",
            "fax_number": "513-891-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUDIN",
        "first_name": "ALTER",
        "middle_name": "Y",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1303602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.