Organization Active NPI

Hallie B. Durchslag, LTD

  • Social Worker
  • Cleveland HTS, OH
National Provider Identifier
1972997559
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
HALLIE B. DURCHSLAG, LTD
Practice address
3109 Mayfield Rd
Suite 204
Cleveland HTS, OH 44118-1726
Phone
(216) 916-2070
Fax
(216) 795-5750
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Ms. Hallie B Durchslag, LISW-SNPI 1396063095
Title
Owner
Phone
(216) 916-2070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3109 Mayfield Rd
Suite 204
Cleveland HTS, OH 44118-1726

Mailing address

PO Box 18481
Cleveland HTS, OH 44118-0481
Phone (888) 808-6625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150513001200 OH Part B Supplier - Clinic/Group Practice 2668792789 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland HTS, OH

National Provider Directory

National Provider Directory

Locations

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

3109 Mayfield Rd
Ste 209
Cleveland Hts, OH 44118
Phone (216) 956-6491

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1972997559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18481",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441180481",
            "telephone_number": "888-808-6625",
            "fax_number": "888-388-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 MAYFIELD RD",
            "address_2": "SUITE 204",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181726",
            "telephone_number": "216-916-2070",
            "fax_number": "216-795-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLIE B. DURCHSLAG, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "DURCHSLAG",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-916-2070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.