Individual provider Active NPI

Elizabeth A Dechant, MSW LISW

  • Clinical Social Worker
  • Hubbard, OH
National Provider Identifier
1245383553
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I5708 Issued in OH
Practice address
4507 Logan Way
Hubbard, OH 44425-3311
Phone
(330) 759-3218
NPI assigned
Jan 19, 2007
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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 I5708 OH Primary

Addresses

Primary practice location

4507 Logan Way
Hubbard, OH 44425-3311

Mailing address

4507 Logan Way
Hubbard, OH 44425-3311
Phone (330) 759-3218

Other identifiers 1

IdentifierTypeStateIssuer
CW018352OtherPAPA SOCIAL WORK LICENSE

Other names 1

  • Betsy A Dechant Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120326000117 OH Practitioner - Clinical Social Worker 3274793526 Practice locations: Hubbard, OH
I20170426000640 PA Practitioner - Clinical Social Worker 3274793526 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 Eastern Ave
Suite 201
Pittsburgh, PA 15215-3038
Phone (724) 907-1668

4507 Logan Way
Hubbard, OH 44425-3311
Phone (330) 759-3218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I5708OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1245383553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 LOGAN WAY",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444253311",
            "telephone_number": "330-759-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 LOGAN WAY",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444253311",
            "telephone_number": "330-759-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHANT",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I5708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA SOCIAL WORK LICENSE",
            "identifier": "CW018352",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "DECHANT",
            "middle_name": "A",
            "credential": "MSW LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hubbard, OH

Sources for this page

Verify at the official NPI Registry.