Individual provider Active NPI

Susan Hoover, MSW, LISW

  • Clinical Social Worker
  • Mason, OH
National Provider Identifier
1912936345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009431 Issued in OH
Practice address
5134 Cedar Village Dr
Mason, OH 45040-3717
Phone
(513) 229-7900
Fax
(513) 229-0202
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0009431 OH Primary

Addresses

Primary practice location

5134 Cedar Village Dr
Mason, OH 45040-3717

Mailing address

5134 Cedar Village Dr
Mason, OH 45040-3717
Phone (513) 229-7900

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
I20051110000756 OH Practitioner - Clinical Social Worker 5294753950 Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 Linwood Ave
Cincinnati, OH 45226-1274
Phone (513) 321-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009431OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Hoover Lisw Clinical Current Accepting new patients

Locations

3200 Linwood Ave
Cincinnati, OH 45226
Phone (513) 321-5999

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912936345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-229-7900",
            "fax_number": "513-229-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5134 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-229-7900",
            "fax_number": "513-229-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.