Active NPI
Patricia E Habenicht, LSW
- Social Worker
- Fairfield, OH
National Provider Identifier
1639468291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0024537
- Practice address
- 5108 Sandy LN
Fairfield, OH 45014-2738 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Apr 5, 2011
- 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.0024537 | OH | Primary |
Addresses
Primary practice location
5108 Sandy LN
Fairfield, OH 45014-2738
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1459
Phone (513) 834-7063
Other practice location 1
975 Fujitec Dr
Lebanon, OH 45036-8336
Phone (513) 228-7800
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.0024537 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1639468291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021459",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 SANDY LN",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142738",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [
{
"address_1": "975 Fujitec Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OH",
"postal_code": "450368336",
"country_code": "US",
"telephone_number": "513-228-7800",
"fax_number": "513-228-7848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HABENICHT",
"first_name": "PATRICIA",
"middle_name": "E",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0024537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.