Individual provider Active NPI

Deborah Hitchcock, LISW-S

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1134471717
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0008891-SUPV Issued in OH
Practice address
2050 W 32ND St
Cleveland, OH 44113-4018
Phone
(216) 651-5982
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0008891-SUPV OH Primary

Addresses

Primary practice location

2050 W 32ND St
Cleveland, OH 44113-4018

Mailing address

23798 Royalton Rd
Columbia Station, OH 44028-9040
Phone (440) 390-8843

Other practice location 1

23798 Royalton Rd
Columbia Station, OH 44028-9040
Phone (440) 390-8843

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deborah@provhouse.org

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.0008891-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Providence House CurrentSince Oct 23, 2022 Accepting new patients
Front Steps Housing and Services PastSince Jul 1, 2022 Accepting new patients

Locations

2050 W 32nd St
Cleveland, OH 44113
Phone (216) 651-5982

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": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1134471717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23798 ROYALTON RD",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440289040",
            "telephone_number": "440-390-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W 32ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134018",
            "telephone_number": "216-651-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23798 Royalton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia Station",
            "state": "OH",
            "postal_code": "440289040",
            "country_code": "US",
            "telephone_number": "440-390-8843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "DEBORAH",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0008891-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborah@provhouse.org",
            "affiliation": "N",
            "address_1": "2050 W 32nd St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441134018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 19, 2022; 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.