Hayla Clark, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1800803 Issued in OH

Practice address

2233 Rocky LN
Ashland, OH 44805-4701

Phone

(192) 813-7164

Fax

(419) 281-4605

NPI assigned

Sep 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Healthcare Partners of Central Ohio Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newark, OH
  • NPI 1063479079
  NPD (past)
• Moundbuilders Guidance Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, OH
  • NPI 1598723728
  NPD (past)

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1508314626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ROCKY LN",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054701",
            "telephone_number": "419-281-3716",
            "fax_number": "419-281-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ROCKY LN",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054701",
            "telephone_number": "192-813-7164",
            "fax_number": "419-281-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HAYLA",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-18",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800803",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1303000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Certified Orthotic & Prosthetic, Inc
• Kate Chaffins
• Alison B Chapin, AU.D.
• City of Ashland
• Christopher James Clapper
• Chet Claypool
• Brooke Nicole Coblentz
• Ashley Danielle Coburn
• Michael Coffman, LPCC-S
• Brandi Coffy

• Clinical Social Worker in Ashland, OH
• Providers in Ashland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.