Ebony Speakes-Hall, LISW-S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S1100522 Issued in OH

Practice address

6617 English Oaks Sta
Liberty Township, OH 45044-9262

Phone

(937) 360-1235

NPI assigned

Jun 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ebony Speakes Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

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

• Promedica Children'S Specialists

  • Pediatrics Physician
  • Toledo, OH
  • NPI 1245444959
  Medicare reassignment NPD
• Samaritan Behavioral Health, Inc.

  • Clinic/Center
  • Dayton, OH
  • NPI 1205888641
  Medicare reassignment NPD
• Ebony Speakes-Hall

  • Community/Behavioral Health Agency
  • West Chester, OH
  • NPI 1295508638
  NPD Authorized official
• Samaritan Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1235490939
  NPD
• Samaritan Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1629022330
  NPD

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1699061978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 ENGLISH OAKS STA",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 ENGLISH OAKS STA",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449262",
            "telephone_number": "937-360-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKES-HALL",
        "first_name": "EBONY",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1100522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "SPEAKES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erik Mathew Snell, D.D.S.
• Julie Snider, RN
• Joy K Sodagudi
• Lisa Sue Sorn, MS, RD, CSR, LD
• Julie Christine Spaccarelli, RPH
• Jennifer Stallsmith, APRN
• Amber Precious Starkey, FNP-BC, NP
• Emily Steele, MD
• Robert Steinhauer
• Kimberly Suzanne Stevens, PHD

• Social Worker in Liberty Township, OH
• Providers in Liberty Township, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.