Individual provider Active NPI

Hannah Harms Mickael, LISW-S

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1639581242
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1600349 Issued in OH
Practice address
508 N Hawley St
Toledo, OH 43607-4476
Phone
(419) 841-7701
NPI assigned
Jun 2, 2014
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 S.1440439 OH
Clinical Social Worker 1041C0700X I.1600349 OH Primary

Addresses

Primary practice location

508 N Hawley St
Toledo, OH 43607-4476

Mailing address

2005 Ashland Ave
Toledo, OH 43620-1703

Other identifiers 1

IdentifierTypeStateIssuer
2871101MedicaidOH

Other names 1

  • Ms. Hannah Jane Harms Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022000585 OH Practitioner - Clinical Social Worker 2264764422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1600349OHMDClinical Social Worker
S.1440439OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zepf Center CurrentSince Sep 16, 2019 Accepting new patients
Zepf Center CurrentSince Sep 16, 2019 Accepting new patients

Locations

2005 Ashland Ave
Toledo, OH 43620
Phone (419) 255-3040

6605 W Central Ave
Ste 100
Toledo, OH 43617
Phone 41984177012235

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1639581242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N HAWLEY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436074476",
            "telephone_number": "419-841-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKAEL",
        "first_name": "HANNAH",
        "middle_name": "HARMS",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1440439",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "HARMS",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.