Individual provider Active NPI

Hilary Schadle Demostenes, LSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1952826737
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1700707 Issued in OH
Practice address
2780 Airport Dr
Suite 100 - Billing/Credentialing Dept.
Columbus, OH 43219
Phone
(614) 645-5500
Fax
(614) 645-5517
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1700707 OH Primary

Addresses

Primary practice location

2780 Airport Dr
Suite 100 - Billing/Credentialing Dept.
Columbus, OH 43219

Mailing address

2780 Airport Drive, Suite 100
Suite 100 - Billing/Credentialing Dept.
Columbus, OH 43229-2289
Phone (614) 645-5500

Other practice location 1

16 W Long St
Columbus, OH 43215-2815
Phone (614) 225-0990 ext. 1187

Other practice location 2

600 North Pickaway Street
Suite 300 MO Bldg
Circleville, OH 43113-1447
Phone (740) 207-4202

Other names 1

  • Miss Hilary Schadle Smith Former name

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

LicenseStateTypeSpecialty
1700707OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952826737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DRIVE, SUITE 100",
            "address_2": "SUITE 100 - BILLING/CREDENTIALING DEPT.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292289",
            "telephone_number": "614-645-5500",
            "fax_number": "614-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR",
            "address_2": "SUITE 100 - BILLING/CREDENTIALING DEPT.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "614-645-5500",
            "fax_number": "614-645-5517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 W Long St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432152815",
            "country_code": "US",
            "telephone_number": "614-225-0990 x1187",
            "fax_number": "614-225-0988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 North Pickaway Street",
            "address_2": "Suite 300 MO Bldg",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431131447",
            "country_code": "US",
            "telephone_number": "740-207-4202",
            "fax_number": "740-207-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMOSTENES",
        "first_name": "HILARY",
        "middle_name": "SCHADLE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1700707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "SMITH",
            "middle_name": "SCHADLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.