Active NPI
Lisa R Dejarnette, LISW
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1326383647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0800008
- Practice address
- 8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901 - Phone
- (513) 861-9797
- Fax
- (513) 861-3510
- NPI assigned
- Nov 28, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0800008 | OH | Primary |
Addresses
Primary practice location
8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901
Mailing address
8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901
Phone (513) 861-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0800008 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1326383647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 HOSBROOK RD",
"address_2": "SUITE 320",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362901",
"telephone_number": "513-861-9797",
"fax_number": "513-861-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 HOSBROOK RD",
"address_2": "SUITE 320",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362901",
"telephone_number": "513-861-9797",
"fax_number": "513-861-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJARNETTE",
"first_name": "LISA",
"middle_name": "R",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0800008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.