Individual provider Active NPI

Clarice Hague

  • Social Worker
  • Zanesville, OH
National Provider Identifier
1386398048
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106271 Issued in OH
Practice address
601 Underwood St Ste A1A
Zanesville, OH 43701-3771
Phone
(740) 450-1615
Fax
(740) 297-7707
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2106271 OH Primary

Addresses

Primary practice location

601 Underwood St Ste A1A
Zanesville, OH 43701-3771

Mailing address

601 Underwood St Ste A1A
Zanesville, OH 43701-3771
Phone (740) 450-1615

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003629 OH Practitioner - Clinical Social Worker 7315322799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighten Up CounselingGroup PAC ID 3173908548, 2 clinicians

Practice addresses (Care Compare)

803 Market St
Zanesville, OH 43701-3717
Phone (740) 868-0089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2106271OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighten Up Counseling Social Worker CurrentSince Oct 14, 2024 Accepting new patients
Center for Personal Empowerment, LLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

803 Market St
Zanesville, OH 43701
Phone (740) 297-4949

601 Underwood St
Ste A1A
Zanesville, OH 43701
Phone (740) 450-1615

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.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1386398048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNDERWOOD ST STE A1A",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013771",
            "telephone_number": "740-450-1615",
            "fax_number": "740-297-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNDERWOOD ST STE A1A",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013771",
            "telephone_number": "740-450-1615",
            "fax_number": "740-297-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGUE",
        "first_name": "CLARICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.