Individual provider Active NPI

Richard L Hockenberry, LISW

  • Social Worker
  • Lancaster, OH
National Provider Identifier
1902870447
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0010091 Issued in OH
Practice address
131 N Ewing St
Unit B
Lancaster, OH 43130-3383
Phone
(740) 689-6700
Fax
(740) 689-6702
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0010091 OH Primary

Addresses

Primary practice location

131 N Ewing St
Unit B
Lancaster, OH 43130-3383

Mailing address

131 N Ewing St
Ste B
Lancaster, OH 43130-3383
Phone (740) 689-6700

Other identifiers 2

IdentifierTypeStateIssuer
000000387058OtherOHANTHEM PIN
I 0010091OtherOHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060302000400 OH Practitioner - Clinical Social Worker 7113933003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Valley Counseling, LLCGroup PAC ID 0941216832, 4 clinicians

Practice addresses (Care Compare)

131 N Ewing St
Suite B
Lancaster, OH 43130-3383
Phone (740) 689-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0010091OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling, LLC CurrentSince Mar 1, 2006 Accepting new patients

Locations

131 N Ewing St
Ste B
Lancaster, OH 43130
Phone (740) 689-6700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1902870447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "STE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "UNIT B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKENBERRY",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0010091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000387058",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "I 0010091",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.