Individual provider Active NPI

Sandra Ernst

  • Social Worker
  • Hamilton, OH
National Provider Identifier
1194230557
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.1700458 Issued in OH
Practice address
3130 Dixie Hwy
Hamilton, OH 45015-1628
Phone
(513) 892-4673
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.1700458 OH Primary

Addresses

Primary practice location

3130 Dixie Hwy
Hamilton, OH 45015-1628

Mailing address

3130 Dixie Hwy
Hamilton, OH 45015-1628
Phone (513) 892-4673

Other practice location 1

1430 University Blvd
Hamilton, OH 45011-3315
Phone (513) 868-7654

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.1700458OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearing Path'S Therapeutic Services, LTD CurrentSince Dec 8, 2018 Accepting new patients
Clearing Path'S Therapeutic Services, LTD CurrentSince Dec 8, 2018 Accepting new patients

Locations

3440 Office Park Dr
Kettering, OH 45439
Phone (937) 299-9060

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1194230557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 DIXIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151628",
            "telephone_number": "513-892-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 DIXIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151628",
            "telephone_number": "513-892-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450113315",
            "country_code": "US",
            "telephone_number": "513-868-7654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNST",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1700458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.