Individual provider Active NPI

Cheryl E Hamant Roslund, LISW-S

  • Clinical Social Worker
  • Moraine, OH
National Provider Identifier
1760661706
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-5269-S Issued in OH
Practice address
2211 Arbor Blvd
Moraine, OH 45439-1521
Phone
(937) 222-9481
Fax
(937) 222-3710
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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-5269-S OH Primary

Addresses

Primary practice location

2211 Arbor Blvd
Moraine, OH 45439-1521

Mailing address

7663 Wastler Rd
Clayton, OH 45315-8972
Phone (937) 751-7196

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

LicenseStateTypeSpecialty
I-5269-SOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Behavioral Health, Inc. PastSince Nov 1, 2007 Accepting new patients

Organizations & group practices 1

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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1760661706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7663 WASTLER RD",
            "city": "CLAYTON",
            "state": "OH",
            "postal_code": "453158972",
            "telephone_number": "937-751-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ARBOR BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391521",
            "telephone_number": "937-222-9481",
            "fax_number": "937-222-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANT ROSLUND",
        "first_name": "CHERYL",
        "middle_name": "E",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-5269-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.