Active NPI
Hana Rose Haselbusch, LSW
- Social Worker
- Mentor, OH
National Provider Identifier
1700434933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2004904
- Practice address
- 8224 Mentor Ave Ste 102
Mentor, OH 44060-5743 - Phone
- (216) 839-2273
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | S.2004904 | OH | Primary |
Addresses
Primary practice location
8224 Mentor Ave Ste 102
Mentor, OH 44060-5743
Mailing address
38223 Parkway Blvd
Willoughby, OH 44094-7547
Phone (440) 725-5983
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.2004904 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humanistic Counseling Center LLC | Current | Accepting new patients | |
| National Youth Advocate Program, Inc | Past | Accepting new patients | |
| National Youth Advocate Program, Inc | Past | Accepting new patients |
Locations
5555 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 461-4249
8224 Mentor Ave
Ste 102
Mentor, OH 44060
Phone (440) 255-6260
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lyndhurst, OH
- NPI 1205829090
-
- Community/Behavioral Health Agency
- Canton, OH
- NPI 1679721906
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1841943495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1700434933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38223 PARKWAY BLVD",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440947547",
"telephone_number": "440-725-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8224 MENTOR AVE STE 102",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605743",
"telephone_number": "216-839-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASELBUSCH",
"first_name": "HANA",
"middle_name": "ROSE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2004904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.