Mitchell David Haralson, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1600486 Issued in OH

Practice address

526 Nilles Rd Ste 8
Fairfield, OH 45014-2624

Phone

(513) 889-5200

NPI assigned

Aug 19, 2021

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

Practice roles

Locations

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.

• Oasis Living Center, LLC

  • Mental Health Counselor
  • Fairfield, OH
  • NPI 1669020533
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1063188019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 NILLES RD STE 8",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142624",
            "telephone_number": "513-889-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NILLES RD STE 8",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142624",
            "telephone_number": "513-889-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARALSON",
        "first_name": "MITCHELL",
        "middle_name": "DAVID",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Hampton, PHARMD
• Ihab Sheikh Hanafi, M.D.
• Douglas Lowe Hancher, MD
• Hanger Prosthetics & Orthotics Inc
• Happiness Home Health Care LLC
• Kristina Harcsa, BSW
• Carrie M Hardcastle, RN
• Jennifer Hardie, MD
• Megan Hardy
• Savannah Rose Hardy, DMD

• Social Worker in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.