Active NPI
Patty L Hall, LSW
- Social Worker
- Port Clinton, OH
National Provider Identifier
1265049381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2004733
- Practice address
- 335 Buckeye Blvd
Port Clinton, OH 43452-1423 - Phone
- (419) 734-2942
- NPI assigned
- Sep 24, 2020
- Last updated
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2004733 | OH | Primary |
Addresses
Primary practice location
335 Buckeye Blvd
Port Clinton, OH 43452-1423
Mailing address
1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
219 S Front St
Suite 301
Fremont, OH 43420-3048
Phone (419) 603-4387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2004733 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oryxcare LLC | Social Worker | Current | Accepting new patients |
Locations
219 S Front St
Ste 301
Fremont, OH 43420
Phone (419) 603-4387
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1265049381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448704737",
"telephone_number": "419-557-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 BUCKEYE BLVD",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521423",
"telephone_number": "419-734-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "PATTY",
"middle_name": "L",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2004733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Clinton, OH
- H.B. Magruder Memorial Hospital (Magruder Hospital)
- H.B. Magruder Memorial Hospital (Magruder Pharmacy at Bassetts)
- Mark A. Hablitzel, D.D.S.
- Michael Derrill Hablitzel, D.D.S.
- Hali Elizabeth Hagemeyer
- Autumn Nicole Hamilton
- Harbor Light Health Care Corp
- John Harrison
- Gregory A. Hart, DDS
- Stephanie Hatzidakis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.