Active NPI
Cortnee A Hale, QMHS,CMS
- Social Worker
- Portsmouth, OH
National Provider Identifier
1881225696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005673
- Practice address
- 901 Washington St
Portsmouth, OH 45662-3944 - Phone
- (740) 354-7702
- Fax
- (740) 353-1662
- NPI assigned
- Jan 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | S.2005673 | OH | Primary |
Addresses
Primary practice location
901 Washington St
Portsmouth, OH 45662-3944
Mailing address
901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 354-7702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.2005673 | Other | OH | LICENSED SOCIAL WORKER |
| 0389612 | 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.2005673 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1881225696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WASHINGTON ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623944",
"telephone_number": "740-354-7702",
"fax_number": "740-353-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WASHINGTON ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623944",
"telephone_number": "740-354-7702",
"fax_number": "740-353-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "CORTNEE",
"middle_name": "A",
"credential": "QMHS,CMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "S.2005673",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0389612",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.