George Stephen Hyatt, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0700210 Issued in OH

Practice address

20 High St Ste 119
Hamilton, OH 45011-2709

Phone

(513) 470-3691

Fax

(513) 330-6730

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Butler County Community Health Consortium, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fairfield Township, OH
  • NPI 1073322616
  NPD (past)
• Butler County Community Health Consortium, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oxford, OH
  • NPI 1780346965
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1366475667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HIGH ST STE 119",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112709",
            "telephone_number": "513-470-3691",
            "fax_number": "513-330-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HIGH ST STE 119",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112709",
            "telephone_number": "513-470-3691",
            "fax_number": "513-330-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "GEORGE",
        "middle_name": "STEPHEN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0700210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000375495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Lynn Hurley
• Debra M Hurr, LPN
• Bethanie Hurst, LPN
• Deborah Ann Hurst
• Malik Hurt
• Cassidy Leigh Icenhour
• Heather L Iglesia, LPN
• Imperial Careplus LLC
• Indian Creek Family Health Ross LLC
• Indian Springs Dental Excellence, Manju Kejriwal DDS, Inc

• Clinical Social Worker in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.