Active NPI
Kezia Denee' Hall, LISW-S
- Social Worker
- Bedford Heights, OH
National Provider Identifier
1376053496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.2203736
- Practice address
- 5198 Richmond Rd
Bedford Heights, OH 44146-1331 - Phone
- (216) 235-2410
- NPI assigned
- Oct 3, 2017
- 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 | I.2203736 | OH | Primary |
Addresses
Primary practice location
5198 Richmond Rd
Bedford Heights, OH 44146-1331
Mailing address
618 Gloucester Dr
Highland Heights, OH 44143-2031
Phone (216) 235-2410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2203736 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1376053496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 GLOUCESTER DR",
"city": "HIGHLAND HEIGHTS",
"state": "OH",
"postal_code": "441432031",
"telephone_number": "216-235-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5198 RICHMOND RD",
"city": "BEDFORD HEIGHTS",
"state": "OH",
"postal_code": "441461331",
"telephone_number": "216-235-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KEZIA",
"middle_name": "DENEE'",
"name_prefix": "Ms.",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.2203736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.