Individual provider Active NPI

Hallie Beth Durchslag, LISW

  • Social Worker
  • Cleveland Heights, OH
National Provider Identifier
1396063095
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0009859 Issued in OH
Practice address
3109 Mayfield Rd
204
Cleveland Heights, OH 44118-1726
Phone
(216) 916-2070
NPI assigned
May 6, 2010
Last updated
Oct 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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 0009859 OH Primary

Addresses

Primary practice location

3109 Mayfield Rd
204
Cleveland Heights, OH 44118-1726

Mailing address

3109 Mayfield Rd
204
Cleveland Heights, OH 44118-1726
Phone (216) 916-2070

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
I20100729000368 OH Practitioner - Clinical Social Worker 9133252067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3109 Mayfield Rd
Suite 209
Cleveland HTS, OH 44118-1726
Phone (216) 956-6491

PO Box
Suite 18481
Cleveland HTS, OH 44118-0481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009859OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hallie B. Durchslag, LTD Social Worker CurrentSince Jan 20, 2015 Accepting new patients
Humanistic Counseling Center LLC PastSince Jul 1, 2023 Accepting new patients

Locations

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

3109 Mayfield Rd
Ste 209
Cleveland Hts, OH 44118
Phone (216) 956-6491

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1396063095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 MAYFIELD RD",
            "address_2": "204",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181726",
            "telephone_number": "216-916-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 MAYFIELD RD",
            "address_2": "204",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181726",
            "telephone_number": "216-916-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURCHSLAG",
        "first_name": "HALLIE",
        "middle_name": "BETH",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "0009859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.