Active NPI
Lisbeth Justice, LSW
- Social Worker
- Hubbard, OH
National Provider Identifier
1851867964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0015054
- Practice address
- 1488 W Liberty St
Hubbard, OH 44425-3309 - Phone
- (330) 707-4701
- NPI assigned
- Oct 16, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0015054 | OH | Primary |
Addresses
Primary practice location
1488 W Liberty St
Hubbard, OH 44425-3309
Mailing address
211 Brady St
Kent, OH 44240-2503
Phone (330) 673-5839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0316066 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0015054 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1851867964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BRADY ST",
"city": "KENT",
"state": "OH",
"postal_code": "442402503",
"telephone_number": "330-673-5839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1488 W LIBERTY ST",
"city": "HUBBARD",
"state": "OH",
"postal_code": "444253309",
"telephone_number": "330-707-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "LISBETH",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0015054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0316066",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hubbard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.