Curtis Jerome Halsell, LSW, CCDCI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S-31870 Issued in OH

Practice address

212 Cook Rd
Lebanon, OH 45036-9600

Phone

(513) 695-1354

Fax

(513) 695-1831

NPI assigned

Apr 22, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1003080011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 OREGONIA RD FL 2",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450363903",
            "telephone_number": "513-695-2411",
            "fax_number": "513-695-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 COOK RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369600",
            "telephone_number": "513-695-1354",
            "fax_number": "513-695-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSELL",
        "first_name": "CURTIS",
        "middle_name": "JEROME",
        "credential": "LSW, CCDCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S-31870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Lauren Hafle, CNP
• Kaitlyn Marie Hafling, CCC-SLP
• Kelsey Hagerdon, PT, DPT
• Brooke M Haley
• Chanel L Hall
• Suzanne Renee Halstead, M.S. CCC-SLP
• Richard Hamning, PH.D.
• Abigail Hand
• Happy Hearts Home Care Services, LLC
• Jodi Ann Hardin, LSW

• Clinical Social Worker in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.