INTEGRATED SERVICES OF APPALACHIAN OHIO, INC. – Clinical Social Worker, NPI 1073578431
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INTEGRATED SERVICES OF APPALACHIAN OHIO, INC.
Box, 4, Κωλέττη, Exarcheia, Athens, Municipality of Athens, Regional Unit of Central Athens, Attica, 106 81, Greece
ATHENS, OH 457010132
Phone: (740) 644-9872
Fax: (833) 733-8327
Type: Mailing
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 457641280
Phone: (740) 644-9872
Fax: (833) 733-8327
Type: Location
11, Graham Drive, Sells Park, Athens, Athens Township, Athens County, Ohio, 45701, United States
ATHENS, OH 45701
Phone: (740) 594-6807
Fax: (740) 594-9967
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: 2013-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (737 days ago).
Enrollment records
1
Earliest due date
2024-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130905000931 | O | Clinic/Group Practice | OH | 2024-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45701)
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