Active NPI
Iana G Souza
- Social Worker
- Cincinnati, OH
National Provider Identifier
1992219679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.2103049
- Practice address
- 3333 Burnet Avenue
ML 3014
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4788
- Fax
- (513) 636-4283
- NPI assigned
- Nov 17, 2017
- 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 | I.2103049 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Avenue
ML 3014
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Avenue
ML 3014
Cincinnati, OH 45229-3026
Phone (513) 636-4788
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2103049 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1992219679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVENUE",
"address_2": "ML 3014",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4788",
"fax_number": "513-636-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVENUE",
"address_2": "ML 3014",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4788",
"fax_number": "513-636-4283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "IANA",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-17",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.2103049",
"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 Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.