Individual provider Active NPI

Eric Eghan, MSW, LSW

  • Social Worker
  • Canal Winchester, OH
National Provider Identifier
1013327667
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1303301 Issued in OH
Practice address
7422 Maple Spice Ave
Canal Winchester, OH 43110-8073
Phone
(412) 294-3175
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 S.1303301 OH Primary

Addresses

Primary practice location

7422 Maple Spice Ave
Canal Winchester, OH 43110-8073

Mailing address

7422 Maple Spice Ave
Canal Winchester, OH 43110-8073
Phone (412) 294-3175

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
I20210604002501 OH Practitioner - Clinical Social Worker 8123444726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1303301OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Grace Home Care and Behavioral Health, LLC CurrentSince Aug 2, 2020 Accepting new patients
New Hope Behavioral Health, LLC Social Worker CurrentSince May 22, 2019 Accepting new patients
New Hope Behavioral Health, LLC Past Accepting new patients

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1013327667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 MAPLE SPICE AVE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108073",
            "telephone_number": "412-294-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7422 MAPLE SPICE AVE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108073",
            "telephone_number": "412-294-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHAN",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1303301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.