Active NPI
Jennifer Hazelwood, LISW
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1780870923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I8888
- Practice address
- 4760 Madison Rd
Cincinnati, OH 45227-1426 - Phone
- (513) 321-8286
- Fax
- (513) 533-5828
- NPI assigned
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 | I8888 | OH | Primary |
Addresses
Primary practice location
4760 Madison Rd
Cincinnati, OH 45227-1426
Mailing address
4760 Madison Rd
Cincinnati, OH 45227-1426
Phone (513) 321-8286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360087 | Medicaid | OH |
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 |
|---|---|---|---|
| I8888 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Connections for Children LLC | Current | Accepting new patients | |
| Early Childhood Counseling Services LLC | Past | Accepting new patients |
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Cincinnati, OH
- NPI 1154931574
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1144789611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1780870923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 MADISON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452271426",
"telephone_number": "513-321-8286",
"fax_number": "513-533-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 MADISON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452271426",
"telephone_number": "513-321-8286",
"fax_number": "513-533-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZELWOOD",
"first_name": "JENNIFER",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I8888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360087",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.