Haven J Ohly, MSW,LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2103180 Issued in OH

Practice address

35895 Royalton Rd
Grafton, OH 44044-9587

Phone

(440) 529-9419

NPI assigned

Jun 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Euclid, OH
  • NPI 1972550010
  Medicare reassignment NPD
• Superior Behavioral Health Inc

  • Multi-Specialty Clinic/Center
  • Garfield Heights, OH
  • NPI 1417685264
  Medicare reassignment NPD
• Psychology Consultants Inc

  • Clinical Social Worker
  • Medina, OH
  • NPI 1205882941
  Medicare reassignment
• Aaron'S Hope L.L.C.

  • Mental Health Counselor
  • Grafton, OH
  • NPI 1518465889

  Social Worker

  NPD

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1407470255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35895 ROYALTON RD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35895 ROYALTON RD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449587",
            "telephone_number": "440-529-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLY",
        "first_name": "HAVEN",
        "middle_name": "J",
        "credential": "MSW,LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Motylewski, LISW-S
• Deborah Nagel, LPN
• Craig Nutter
• Jenna Marie Odell, MSN, AGACNP-BC, CCRN
• Clare C Ogonek, OTR/L
• Tracy Lynette Overy
• Paradise Home Care LLC
• Pathways Counseling and Growth Center
• Kristine M Phillips Holland, LISW-S
• Daniel Pilarski, LISW-S

• Clinical Social Worker in Grafton, OH
• Providers in Grafton, 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 May 26, 2022; 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.