Individual provider Active NPI

Linh-Han C Ikehara, LISW

  • Clinical Social Worker
  • Miamisburg, OH
National Provider Identifier
1164822425
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901519 Issued in OH
Practice address
3300 W Tech Blvd
Miamisburg, OH 45342-4865
Phone
(937) 641-3401
NPI assigned
Aug 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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.1901519 OH Primary

Addresses

Primary practice location

3300 W Tech Blvd
Miamisburg, OH 45342-4865

Mailing address

PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-3000

Other practice location 1

860 Valley Street
Dayton, OH 45404-2066
Phone (937) 641-3060

Other practice location 2

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3000

Other identifiers 1

IdentifierTypeStateIssuer
0275932MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1901519OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Hospital Clinical CurrentSince May 1, 2020 Accepting new patients

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

860 Valley St
Dayton, OH 45404
Phone (937) 641-3060

700 E 1st St
Dayton, OH 45402
Phone (937) 641-3211

3300 W Tech Blvd
Miamisburg, OH 45342
Phone (937) 641-3060

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

76 Remick Blvd
Springboro, OH 45066
Phone (937) 641-4040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1164822425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933421",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W TECH BLVD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424865",
            "telephone_number": "937-641-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Valley Street",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454042066",
            "country_code": "US",
            "telephone_number": "937-641-3060",
            "fax_number": "937-641-3285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEHARA",
        "first_name": "LINH-HAN",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-23",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275932",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.