Individual provider Active NPI

Kodi C Haney, LSW, LCDC III

  • Social Worker
  • Washington Court House, OH
National Provider Identifier
1033607379
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1802141 Issued in OH
Practice address
7 Fayette Ctr
Washington Court House, OH 43160-2120
Phone
(740) 335-8228
NPI assigned
Apr 23, 2018
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCIII.161771 OH
Social Worker 104100000X S.1802141 OH Primary

Addresses

Primary practice location

7 Fayette Ctr
Washington Court House, OH 43160-2120

Mailing address

110 Highland Ave
Circleville, OH 43113-1208
Phone (740) 477-1745

Other practice location 1

780 Gregg St
Washington Court House, OH 43160-1564
Phone (740) 313-7513

Other practice location 2

327 E Mill St
Circleville, OH 43113-2029
Phone (740) 500-1402

Other practice location 3

110 Highland Ave
Circleville, OH 43113-1208
Phone (740) 477-1745

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCDCIII.161771OHMDAddiction (Substance Use Disorder) Counselor
S.1802141OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pickaway Area Recovery Services Addiction (Substance Use Disorder) PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 1

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1033607379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND AVE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131208",
            "telephone_number": "740-477-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FAYETTE CTR",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602120",
            "telephone_number": "740-335-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Gregg St",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431601564",
            "country_code": "US",
            "telephone_number": "740-313-7513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 E Mill St",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431132029",
            "country_code": "US",
            "telephone_number": "740-500-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431131208",
            "country_code": "US",
            "telephone_number": "740-477-1745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "KODI",
        "middle_name": "C",
        "credential": "LSW, LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.161771",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1802141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.