Individual provider Active NPI

Heather Huber, LISW-S

  • Clinical Social Worker
  • Lebanon, OH
National Provider Identifier
1417112012
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0500018-SUPV Issued in OH
Practice address
23 Oakwood Ave
Lebanon, OH 45036
Phone
(513) 934-5700
Fax
(513) 228-0084
NPI assigned
Jul 23, 2008
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0500018-SUPV OH Primary

Addresses

Primary practice location

23 Oakwood Ave
Lebanon, OH 45036

Mailing address

23 Oakwood Ave
Lebanon, OH 45036-1512
Phone (513) 934-5700

Other practice location 1

10921 Reed Hartman Hwy
Suite 133
Cincinnati, OH 45242-2830
Phone (513) 984-9838

Other practice location 2

10921 Reed Hartman Hwy
Suite 133
Cincinnati, OH 45242-2830
Phone (513) 984-9838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20090508000101 OH Practitioner - Clinical Social Worker 8729136361 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center CurrentSince Sep 13, 2018 Accepting new patients
The Counseling Source Foundation, Inc. Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

23 Oakwood Ave
Lebanon, OH 45036
Phone (513) 934-5700

Organizations & group practices 3

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1417112012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OAKWOOD AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361512",
            "telephone_number": "513-934-5700",
            "fax_number": "513-228-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OAKWOOD AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "45036",
            "telephone_number": "513-934-5700",
            "fax_number": "513-228-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10921 Reed Hartman Hwy",
            "address_2": "Suite 133",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452422830",
            "country_code": "US",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10921 Reed Hartman Hwy",
            "address_2": "Suite 133",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452422830",
            "country_code": "US",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBER",
        "first_name": "HEATHER",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0500018-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.