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Laith Sersain , LSW

Social Worker β€’ Fairfield, OH

Active NPI 1760083380 Individual Practitioner Female Practitioner
Practice location in NPPES

1251 Nilles Rd Ste 5
Fairfield, OH 450147205

Call 5139390300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1251 Nilles Rd Ste 5

Fairfield, OH 450147205

Telephone 5139390300
Fax 5139390310
Organization at the Same NPPES Address or Phone
Mindfully, Llc Facility NPI 1972702520

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Columbus, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairfield and Ohio

49 active clinicians are listed under Social Worker with a practice address in Fairfield, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairfield

0% of these 49 clinicians have the CMS telehealth indicator.

0% of these 49 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-16
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2004737

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0347737 (OH)

Secondary Practice Locations

4000 E Main St

Columbus, OH 432132950

Phone: 6143346903

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Stephanie Albertz , LISW-S

Social Worker - Clinical

NPI 1982127197

LISWS

Louis Alfieri , LISW-S

Social Worker - Clinical

NPI 1174854434

LISWS

Tamara Brown , LISW-S LICDC

Social Worker - Clinical

NPI 1457735839

LISWSLICDC

Lauren Demoya , LPCC

Counselor - Professional

NPI 1376084905

Licensed Professional Clinical Counselor

Catherine Gore , LISW

Social Worker - Clinical

NPI 1376568790

Licensed Independent Social Worker

Courtney Moorehead , MSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1710679741

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 16, 2020

Registered at 1251 NILLES RD STE 5, FAIRFIELD, OH 450147205 (Tel: 5139390300)

πŸ“
Updated Business Mailing Address December 16, 2020

Registered at 1251 NILLES RD STE 5, FAIRFIELD, OH 450147205 (Tel: 5139390300)

πŸ‘€
Provider Name / Credentials Updated December 16, 2020

Recorded as LAITH SERSAIN, LSW

βœ…
NPI Profile Active November 02, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 02, 2020

Registered at 4000 E MAIN ST, COLUMBUS, OH 432132950 (Tel: 6143346903)

πŸ“
Business Mailing Address (Initial Record) November 02, 2020

Registered at 4000 E MAIN ST, COLUMBUS, OH 432132950

πŸ‘€
Provider Name / Credentials (Initial Record) November 02, 2020

Recorded as LAITH SERSAIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2020

Social Worker (license number reported to NPPES: OH S.2004737)

🟒
Initial NPI Registration & Enumeration November 02, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760083380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2020
Last Update: December 16, 2020
Sole Proprietor: No

Mailing Address

1251 Nilles Rd Ste 5

Fairfield, OH 450147205

Phone: 5139390300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.