Carl J Hivner, LSW;CDCA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0600083 Issued in OH

Practice address

9083 Mentor Ave
Mentor, OH 44060-6462

Phone

(440) 255-0678

NPI assigned

Sep 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1235613746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 GLENN LODGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601324",
            "telephone_number": "440-255-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9083 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606462",
            "telephone_number": "440-255-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIVNER",
        "first_name": "CARL",
        "middle_name": "J",
        "credential": "LSW;CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0600083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Philip Hess, PC
• Mykia Sa'Lita Hickman, APRN- PMHNP
• Katharine Hill, LPCC-S
• Krista Marie Hiner, LPCC-S
• Robert L Hinnes, MD
• Juanita Lynn Hivner, LCDCIII
• David Hlavac
• Shawn Hodge, PHARMD
• Danielle Hodges
• Tasha A Hodgson, FNP-BC

• Social Worker in Mentor, OH
• Providers in Mentor, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.