Active NPI
Michele Herman, LISW
- Clinical Social Worker
- Dublin, OH
National Provider Identifier
1720099138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 0002408
- Practice address
- 6465 Reflections Dr
Suite 110
Dublin, OH 43017-2355 - Phone
- (614) 792-1108
- Fax
- (614) 792-0018
- NPI assigned
- Aug 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I 0002408 | OH | Primary |
Addresses
Primary practice location
6465 Reflections Dr
Suite 110
Dublin, OH 43017-2355
Mailing address
2035 Edgewood Dr
Lima, OH 45805-1127
Phone (419) 331-6645
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 0002408 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720099138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 EDGEWOOD DR",
"city": "LIMA",
"state": "OH",
"postal_code": "458051127",
"telephone_number": "419-331-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 REFLECTIONS DR",
"address_2": "SUITE 110",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172355",
"telephone_number": "614-792-1108",
"fax_number": "614-792-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "MICHELE",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 0002408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.