Individual provider Active NPI

Hannah Moag, LSW

  • Social Worker
  • Highland Hills, OH
National Provider Identifier
1003398314
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S1802958 Issued in OH
Practice address
4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone
(216) 292-9700
Fax
(216) 378-4613
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1802958 OH Primary

Addresses

Primary practice location

4255 Northfield Rd
Highland Hills, OH 44128-2811

Mailing address

4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone (216) 292-9700

Other practice location 1

24211 Center Ridge Rd
Westlake, OH 44145-4211
Phone (440) 250-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020002341 OH Practitioner - Clinical Social Worker 7113415464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6801 Brecksville Rd
Suite 20
Independence, OH 44131-5058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1802958OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Oct 2, 2025 Accepting new patients
Achievement Centers for Children Social Worker Past Accepting new patients
Achievement Centers for Children Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1003398314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 NORTHFIELD RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441282811",
            "telephone_number": "216-292-9700",
            "fax_number": "216-378-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 NORTHFIELD RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441282811",
            "telephone_number": "216-292-9700",
            "fax_number": "216-378-4613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24211 Center Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441454211",
            "country_code": "US",
            "telephone_number": "440-250-2520",
            "fax_number": "440-250-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAG",
        "first_name": "HANNAH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1802958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Hills, OH

Sources for this page

Verify at the official NPI Registry.