Calvin L Hall, LSW,LICDC.SAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

944083 Issued in OH

Practice address

10908 Grandview Ave
Cleveland, OH 44104-3529

Phone

(121) 632-6251

NPI assigned

Jan 11, 2010

Last updated

Jun 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1164752309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 GRANDVIEW AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043529",
            "telephone_number": "121-632-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10908 GRANDVIEW AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043529",
            "telephone_number": "121-632-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CALVIN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LSW,LICDC.SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "944083",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S28730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Drake Hall, MD, MSC
• Bailey Hall, MD
• Barbara Hall Sr., LPN
• Blaine Ashley Hall, FNP
• Brittany Hall
• Cameron J Hall, PA-C
• Carlie M Hall, PA-C
• Carlisle Hall
• Carol Hall, CNP
• Catherine Denise Hall, ASSOCIATES DEGREE

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.