Organization Active NPI

Hopeful Beginnings LLC

Doing business as None

  • Clinical Social Worker
  • Defiance, OH
National Provider Identifier
1700232261
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00007759-SUPV Issued in OH
Legal business name
HOPEFUL BEGINNINGS LLC
Doing business as
None
Practice address
1012 Ralston Ave
Defiance, OH 43512-1397
Phone
(419) 591-8093
NPI assigned
May 13, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Susan Marie Lane-Baldwin, MSW,LISW-SNPI 1821245804
Title
Sole Proprietor
Phone
(419) 591-8093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00007759-SUPV OH Primary

Addresses

Primary practice location

1012 Ralston Ave
Defiance, OH 43512-1397

Mailing address

PO Box 147
Napoleon, OH 43545-0147
Phone (419) 591-8093

Other identifiers 1

IdentifierTypeStateIssuer
0161032MedicaidOH

Other names 1

  • None Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728001613 OH Part B Supplier - Clinic/Group Practice 0042503047 Receives reassigned benefits from 1 practitioner
Practice locations: Defiance, OH

National Provider Directory

National Provider Directory

Locations

1012 Ralston Ave
Defiance, OH 43512
Phone (419) 591-8093

1012 Ralston Ave
Ste B
Defiance, OH 43512
Phone (419) 591-8093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1700232261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435450147",
            "telephone_number": "419-591-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 RALSTON AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121397",
            "telephone_number": "419-591-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEFUL BEGINNINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "LANE-BALDWIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "419-591-8093",
        "authorized_official_credential": "MSW,LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "00007759-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.