Active NPI
Lisa Hansford, MA. LSW
- Social Worker
- Centerville, OH
National Provider Identifier
1508088717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S 0600848
- Practice address
- 133 N Main St
Centerville, OH 45459-4620 - Phone
- (937) 433-3931
- Fax
- (937) 434-7678
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S 0600848 | OH | Primary |
Addresses
Primary practice location
133 N Main St
Centerville, OH 45459-4620
Mailing address
10019 Frederick Pike
Vandalia, OH 45377-9721
Phone (937) 361-3196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S0600848 | Other | OH | CSWMFT BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S 0600848 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Friends of the Castle | Past | Accepting new patients | |
| Friends of the Castle, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Centerville, OH
- NPI 1891226262
-
- Voluntary or Charitable Agency
- Centerville, OH
- NPI 1306904016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1508088717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10019 FREDERICK PIKE",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453779721",
"telephone_number": "937-361-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 N MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594620",
"telephone_number": "937-433-3931",
"fax_number": "937-434-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSFORD",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "MA. LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S 0600848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSWMFT BOARD",
"identifier": "S0600848",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.