Organization Active NPI

Hornbeck Associates, LTD.

  • Clinical Social Worker
  • Ashtabula, OH
National Provider Identifier
1316056252
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 4239 Issued in OH
Legal business name
HORNBECK ASSOCIATES, LTD.
Practice address
4510 Collins Blvd Ste 4
Ashtabula, OH 44004-6954
Phone
(440) 992-9777
Fax
(440) 992-9683
NPI assigned
Aug 30, 2006
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Mr. H. Douglas Hornbeck, LISW
Title
Psychotherapist/Owner
Phone
(440) 992-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 4239 OH Primary

Addresses

Primary practice location

4510 Collins Blvd Ste 4
Ashtabula, OH 44004-6954

Mailing address

4510 Collins Blvd Ste 4
Ashtabula, OH 44004-6954
Phone (440) 992-9777

National Provider Directory

National Provider Directory
Tax ID family
H Douglas Hornbeck2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1316056252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 COLLINS BLVD STE 4",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046954",
            "telephone_number": "440-992-9777",
            "fax_number": "440-992-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 COLLINS BLVD STE 4",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046954",
            "telephone_number": "440-992-9777",
            "fax_number": "440-992-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORNBECK ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "HORNBECK",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "440-992-9777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 4239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.