Active NPI
Paula Eggebrecht, LSW
- Social Worker
- Hamilton, OH
National Provider Identifier
1629844907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005386
- Practice address
- 1900 Fairgrove Ave
Hamilton, OH 45011-1966 - Phone
- (513) 889-5880
- NPI assigned
- Nov 28, 2023
- 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.2005386 | OH | Primary |
Addresses
Primary practice location
1900 Fairgrove Ave
Hamilton, OH 45011-1966
Mailing address
510 Holland Dr
Trenton, OH 45067-9704
Phone (513) 403-5253
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.2005386 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1629844907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 HOLLAND DR",
"city": "TRENTON",
"state": "OH",
"postal_code": "450679704",
"telephone_number": "513-403-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 FAIRGROVE AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450111966",
"telephone_number": "513-889-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGEBRECHT",
"first_name": "PAULA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.