Individual provider Active NPI

Lisa Hansford, MA. LSW

  • Social Worker
  • Centerville, OH
National Provider Identifier
1508088717
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S 0600848 Issued in OH
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

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
S0600848OtherOHCSWMFT 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

LicenseStateTypeSpecialty
S 0600848OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.