Patricia Rupp-Hunt, LISW-S
Individual provider Active NPI Clinical Social Worker · Brookville, OH
NPI 1871781880 · NPPES record last updated Sep 7, 2010
Key facts
- NPI
- 1871781880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I 0800208 (OH)
- Practice address
- 15830 Schoolhouse Rd
Brookville, OH 45309-9716 - Phone
- (937) 750-7877
- Fax
- (937) 660-3653
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15830 Schoolhouse Rd
Brookville, OH 45309-9716
Phone (937) 750-7877
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111206000829 | OH | Practitioner - Clinical Social Worker | 0941475776 | Practice locations: Brookville, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 0800208 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia Rupp Hunt Lisw, LCC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I 0800208 | OH | |
| Clinical Social Worker | 1041C0700X | I 0800208 | OH | Yes |
| Mental Health Counselor | 101YM0800X | I 0800208 | OH |
Addresses
Primary practice location
15830 Schoolhouse Rd
Brookville, OH 45309-9716
Mailing address
15830 Schoolhouse Rd
Brookville, OH 45309-9716
Phone (937) 750-7877
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I 0800208 | Medicaid | OH |
Other providers in Brookville, OH
- Randall R. Shaffer, D.C., Inc.
- Reed'S Health Advantage, LLC
- John Edward Rhodes Jr.
- Joseph Matthew Rhodes
- Rite Aid of Ohio Inc
- Samaritan Family Care, Inc.
- Angelena E Schauer
- Mark Everett Schmidt
- Scott L Hora OD LLC
- Elaine Kay Scott
All providers in Brookville, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.