Individual provider Active NPI

Jessica C Hartman, LISW

  • Clinical Social Worker
  • Mason, OH
National Provider Identifier
1750058855
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2406148 Issued in OH
Practice address
5740 Gateway Ste 101
Mason, OH 45040-1893
Phone
(513) 549-1598
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2406148 OH Primary

Addresses

Primary practice location

5740 Gateway Ste 101
Mason, OH 45040-1893

Mailing address

5740 Gateway Ste 101
Mason, OH 45040-1893

Other identifiers 1

IdentifierTypeStateIssuer
0001415MedicaidOH

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
I20241226001190 OH Practitioner - Clinical Social Worker 8527595958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2406148OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Behavioral Health Services, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Empowered Healing LLC PastSince Aug 17, 2025 Accepting new patients

Locations

1490 University Blvd
Hamilton, OH 45011
Phone (513) 867-5400

1502 University Blvd
Ste D
Hamilton, OH 45011

1490 University Blvd
Ste A
Hamilton, OH 45011

212 Cook Rd
Lebanon, OH 45036
Phone (513) 695-1354

1131 Manchester Ave
Middletown, OH 45042
Phone (513) 422-4004

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1750058855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 GATEWAY STE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GATEWAY STE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401893",
            "telephone_number": "513-549-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JESSICA",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2406148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001415",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.