Individual provider Active NPI

Hannah Ziegenhardt, LISW-S

  • Clinical Social Worker
  • Portsmouth, OH
National Provider Identifier
1194277566
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002211-SUPV Issued in OH
Practice address
902 Gallia St
Portsmouth, OH 45662-4139
Phone
(740) 883-9321
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S. 1601072 OH
Clinical Social Worker 1041C0700X I.2002211 OH
Clinical Social Worker 1041C0700X I.2002211-SUPV OH Primary

Addresses

Primary practice location

902 Gallia St
Portsmouth, OH 45662-4139

Mailing address

PO Box 3095
Dublin, OH 43016-0046

Other practice location 1

14297 State Route 41
West Union, OH 45693-9749
Phone (937) 779-3030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117000487 OH Practitioner - Clinical Social Worker 8123519337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Group Home LLCGroup PAC ID 7911407903, 36 clinicians

Practice addresses (Care Compare)

905 Gallia St
Portsmouth, OH 45662-4136
Phone (740) 529-2125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2002211OHMDClinical Social Worker
I.2002211-SUPVOHMDClinical Social Worker
S. 1601072OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Oct 31, 2025 Accepting new patients
Phoenix Group Home, LLC CurrentSince Oct 31, 2025 Accepting new patients

Locations

306 W Union St
Athens, OH 45701
Phone (740) 764-4529

902 Gallia St
Portsmouth, OH 45662
Phone (740) 352-1950

905 Gallia St
Portsmouth, OH 45662

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1194277566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3095",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430160046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624139",
            "telephone_number": "740-883-9321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14297 State Route 41",
            "address_purpose": "LOCATION",
            "city": "West Union",
            "state": "OH",
            "postal_code": "456939749",
            "country_code": "US",
            "telephone_number": "937-779-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEGENHARDT",
        "first_name": "HANNAH",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S. 1601072",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002211-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.