Individual provider Active NPI

Hortencia Denise Harrison, LISW, MSW

  • Clinical Social Worker
  • Upper Arlington, OH
National Provider Identifier
1548611486
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901618 Issued in OH
Practice address
1800 Zollinger Rd FL 3
Upper Arlington, OH 43221-2800
Phone
(614) 293-2130
Fax
(614) 293-3087
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6731 TN
Clinical Social Worker 1041C0700X I.1901618 OH Primary

Addresses

Primary practice location

1800 Zollinger Rd FL 3
Upper Arlington, OH 43221-2800

Mailing address

1800 Zollinger Rd FL 3
Upper Arlington, OH 43221-2800

Other practice location 1

1801 Fox Dr
Champaign, IL 61820-7236
Phone (217) 351-9744

Other practice location 2

1309 Bell Rd Ste 201
Antioch, TN 37013
Phone (773) 715-4850

Other identifiers 1

IdentifierTypeStateIssuer
1548611486MedicaidIL

Other names 1

  • Hortencia Denise Arizpe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL unknown

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6731TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1548611486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ZOLLINGER RD FL 3",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432212800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ZOLLINGER RD FL 3",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432212800",
            "telephone_number": "614-293-2130",
            "fax_number": "614-293-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Fox Dr",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618207236",
            "country_code": "US",
            "telephone_number": "217-351-9744",
            "fax_number": "217-351-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1309 Bell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "37013",
            "country_code": "US",
            "telephone_number": "773-715-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "HORTENCIA",
        "middle_name": "DENISE",
        "credential": "LISW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6731",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548611486",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "address_1": "1800 Zollinger Rd Fl 3",
            "city": "Upper Arlington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432212800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HORTENCIA",
            "last_name": "ARIZPE",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper Arlington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.