Individual provider Active NPI

Tabitha L Hoke-Mujihad, LSW

  • Clinical Social Worker
  • Mansfield, OH
National Provider Identifier
1508369976
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1700359 Issued in OH
Practice address
780 Park Ave W Ste D
Mansfield, OH 44906-3009
Phone
(419) 709-8103
Fax
(419) 709-8132
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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 1700359 OH Primary

Addresses

Primary practice location

780 Park Ave W Ste D
Mansfield, OH 44906-3009

Mailing address

643 Sackman St
Mansfield, OH 44903-1096
Phone (419) 631-0903

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
1700359OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1508369976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 SACKMAN ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031096",
            "telephone_number": "419-631-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 PARK AVE W STE D",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063009",
            "telephone_number": "419-709-8103",
            "fax_number": "419-709-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOKE-MUJIHAD",
        "first_name": "TABITHA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1700359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.