Individual provider Active NPI

Kristina Michelle Hash, PHD

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1780219782
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP02941772 Issued in WV
Practice address
451 Ash St
Morgantown, WV 26501-6667
Phone
(304) 216-3563
NPI assigned
Mar 10, 2020
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 DP02941772 WV Primary

Addresses

Primary practice location

451 Ash St
Morgantown, WV 26501-6667

Mailing address

451 Ash St
Morgantown, WV 26501-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20200528001919 WV Practitioner - Clinical Social Worker 0840611992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Susan Millham Licsw PLLCGroup PAC ID 2769784701, 2 clinicians

Practice addresses (Care Compare)

48 Donley St
Suite 103
Morgantown, WV 26501-0126
Phone (304) 435-3494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DP02941772WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Millham Licsw PLLC Clinical CurrentSince Jun 1, 2020 Accepting new patients

Locations

48 Donley St
Ste 103
Morgantown, WV 26501
Phone (304) 435-3494

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1780219782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ASH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ASH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016667",
            "telephone_number": "304-216-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASH",
        "first_name": "KRISTINA",
        "middle_name": "MICHELLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP02941772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.