Individual provider Active NPI

Samantha Hovanic, LISW-S

  • Social Worker
  • Rocky River, OH
National Provider Identifier
1013329234
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.1000321 Issued in OH
Practice address
20545 Center Ridge Rd
Rocky River, OH 44116-3430
Phone
(440) 356-0083
NPI assigned
May 22, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 I.1000321 OH Primary

Addresses

Primary practice location

20545 Center Ridge Rd
Rocky River, OH 44116-3430

Mailing address

20545 Center Ridge Rd Ste 448
Rocky River, OH 44116-3423

Other practice location 1

2075 Avon Belden Rd
Grafton, OH 44044-9805
Phone (440) 748-1049 ext. 283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1000321OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Mind Cleveland PastSince Mar 20, 2025 Accepting new patients
Kelly Ferris, LLC PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013329234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20545 CENTER RIDGE RD STE 448",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20545 CENTER RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163430",
            "telephone_number": "440-356-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 Avon Belden Rd",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "OH",
            "postal_code": "440449805",
            "country_code": "US",
            "telephone_number": "440-748-1049 x283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOVANIC",
        "first_name": "SAMANTHA",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1000321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.