Active NPI
Han Dooley, MSSA, LISW
- Clinical Social Worker
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901421
- Practice address
- 3518 W 25TH St
Cleveland, OH 44109-1951 - Phone
- (216) 741-2241
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1901421 | OH | Primary |
Addresses
Primary practice location
3518 W 25TH St
Cleveland, OH 44109-1951
Mailing address
3484 W 125TH St
Cleveland, OH 44111-3557
Phone (646) 645-9362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0264395 | Medicaid | OH |
Other names 1
- Han Ning
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1901421 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Health Services | Current | Accepting new patients | |
| Circle Health Services | Current | Accepting new patients | |
| Circle Health Services | Past | Accepting new patients |
Locations
3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800
5209 Detroit Ave
Cleveland, OH 44102
Phone (216) 651-2037
12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846
4400 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9355
4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404
5955 Ridge Rd
Parma, OH 44129
Phone (440) 888-0300
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.
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1386609857
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1396552949
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1568978948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1104337583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3484 W 125TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441113557",
"telephone_number": "646-645-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 W 25TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091951",
"telephone_number": "216-741-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "HAN",
"credential": "MSSA, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0264395",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HAN",
"last_name": "NING",
"credential": "MSSA, LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.