MOFFOU KATHERINE TCHOULA – Clinical Social Worker, NPI 1003450511

MOFFOU KATHERINE TCHOULA is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold a License No. I.2102824-SUPV (OH). The NPI Number for MOFFOU KATHERINE TCHOULA is 1003450511

Main info

Female
Sole Proprietor
8 Years Of Experience
Name
MOFFOU KATHERINE TCHOULA
NPI
1003450511
Phone
(614) 334-6903
Address
4000 E MAIN ST
Enumeration Date
29 October 2019
Last Update Date
17 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6143346903
Graduation Year
2018 (8 years ago)
PAC ID
7618359373
Group Practice PAC ID
4486089893
Professional Enrollment ID
I20220728001060
Address ID
OH432132950CO4000XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MOFFOU KATHERINE TCHOULA

  • 4000 E MAIN ST

    COLUMBUS, OH 432132950

    Phone: (614) 334-6903

    Type: Location

  • 3763 N High St

    Columbus, OH 432143547

    Phone: (614) 406-0299

    Type: Location

  • 4488 W BROAD ST

    COLUMBUS, OH 432285610

    Phone: (614) 334-6903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220728001060IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43213)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486089893View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Physician AssistantOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Family PracticeOH
Nurse PractitionerOH
Mental Health CounselorOH
Mental Health CounselorOH
Physician AssistantOH

Reviews

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Frequently asked questions

How do payers reference MOFFOU KATHERINE TCHOULA?
For MOFFOU KATHERINE TCHOULA, use NPI 1003450511 as the unique 10-digit identifier.
Active or inactive — what applies to MOFFOU KATHERINE TCHOULA?
You should see MOFFOU KATHERINE TCHOULA as active in CMS-hosted NPPES data.
What kind of doctor is MOFFOU KATHERINE TCHOULA?
MOFFOU KATHERINE TCHOULA is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is MOFFOU KATHERINE TCHOULA associated with Columbus?
Public fields place MOFFOU KATHERINE TCHOULA around Columbus, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MOFFOU KATHERINE TCHOULA is noted as October 29, 2019 where the registry provides it.

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