Active NPI
Christina R Hancock, LISW-S
- Clinical Social Worker
- Bryan, OH
National Provider Identifier
1366693236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0800265-SUPV
- Practice address
- 221 S Main St
Bryan, OH 43506-1759 - Phone
- (419) 636-8400
- Fax
- (419) 636-7953
- NPI assigned
- Oct 9, 2008
- 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 | I.0800265-SUPV | OH | Primary |
Addresses
Primary practice location
221 S Main St
Bryan, OH 43506-1759
Mailing address
21568 County Road C
Stryker, OH 43557-9709
Phone (419) 682-9163
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3150 N Republic Blvd
Suite 5
Toledo, OH 43615-1514
Phone (419) 636-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Counseling | Clinical | Current | Accepting new patients |
| Ultra-X Imaging LLC | Past | Accepting new patients |
Locations
221 S Main St
Bryan, OH 43506
Phone (419) 630-0211
1210 W High St
Fl 2
Bryan, OH 43506
Phone (419) 636-8400
3150 N Republic Blvd
Ste 5
Toledo, OH 43615
Phone (419) 636-8400
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Bryan, OH
- NPI 1730418815
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Plymouth, MI
- NPI 1548461601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1366693236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21568 COUNTY ROAD C",
"city": "STRYKER",
"state": "OH",
"postal_code": "435579709",
"telephone_number": "419-682-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 S MAIN ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061759",
"telephone_number": "419-636-8400",
"fax_number": "419-636-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "CHRISTINA",
"middle_name": "R",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0800265-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.