Hannah Grace Abel
Individual provider Active NPI Social Worker · Fairborn, OH
NPI 1457096034 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1457096034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S.2309088 (OH)
- Practice address
- 188 W Hebble Ave
Fairborn, OH 45324-4960 - Phone
- (937) 754-5911
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2309088 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Current |
Accepting new patients | |
| Phoenix Group Home, LLC | Past |
Accepting new patients |
Locations
9 Chesapeake Plz
Chesapeake, OH 45619
Phone (740) 297-6019
188 W Hebble Ave
Fairborn, OH 45324
Phone (937) 754-5911
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | S.2309088 | OH | Yes |
Addresses
Primary practice location
188 W Hebble Ave
Fairborn, OH 45324-4960
Mailing address
9 Chesapeake Plaza
Chesapeake, OH 45619
Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.