=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821138637
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JENNIFER D HALL HEMINGER LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/08/2007
-----------------------------------------------------
Last Update Date | 06/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3121 W BROAD ST
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43204-1306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-869-2002
-----------------------------------------------------
Fax | 614-792-6240
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6730 LUDLOW RD
-----------------------------------------------------
City | CABLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43009-9735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-653-5583
-----------------------------------------------------
Fax | 937-653-4787
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | S.0600271
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------