Individual provider Active NPI

Deborah Susan Green-Lauber, L.I.S.W.-S.

  • Clinical Social Worker
  • Hilliard, OH
National Provider Identifier
1497859979
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0004968 Issued in OH
Practice address
3970 Brown Park Dr
Suite a
Hilliard, OH 43026-1166
Phone
(614) 534-0013
Fax
(614) 534-0033
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 0004968 OH Primary

Addresses

Primary practice location

3970 Brown Park Dr
Suite a
Hilliard, OH 43026-1166

Mailing address

3970 Brown Park Dr
Suite a
Hilliard, OH 43026-1166
Phone (614) 527-4335

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
I20111102000768 OH Practitioner - Clinical Social Worker 3870766009 Practice locations: Hilliard, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3970 Brown Park Dr
Suite a
Hilliard, OH 43026-1166

3970 Brown Park Dr a
Hilliard, OH 43026-1166
Phone (614) 527-4335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0004968OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1497859979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 BROWN PARK DR",
            "address_2": "SUITE A",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261166",
            "telephone_number": "614-527-4335",
            "fax_number": "614-534-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 BROWN PARK DR",
            "address_2": "SUITE A",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261166",
            "telephone_number": "614-534-0013",
            "fax_number": "614-534-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-LAUBER",
        "first_name": "DEBORAH",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W.-S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0004968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.