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Deactivated NPI 1376002808 Deactivated / Inactive NPI Female Practitioner

Marisa Hathaway

Case Manager/Care Coordinator • Chillicothe, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marisa Hathaway has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2019
NPI Deactivation Date March 08, 2021
Total Practice Duration ~2 Years of Practice (2019 – 2021)

Professional Overview & Biography Verified Profile Summary

Marisa Hathaway was a registered Case Manager/Care Coordinator practicing in Chillicothe, OH. Throughout an active medical career spanning 2 years, Marisa Hathaway provided care at the practice location at 220 N PLAZA BLVD until profile deactivation on 2021-03-08.

Practice Location & Contact Primary Location

Practice Address

220 N Plaza Blvd

Chillicothe, OH 456011787

Telephone 7407032039
Associated Practice Facility / Clinic
🏢 Southerncare Inc Facility NPI 1699715474

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Chillicothe, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
145 Specialists

Practicing in Chillicothe, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-01
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA.130532

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jeffrey Book

Case Manager/Care Coordinator

NPI 1013792860
Kendra Hines

Case Manager/Care Coordinator

NPI 1073211199
Brittani Snider

Counselor - Addiction (Substance Use Disorder)

NPI 1093286916
Eddie Hall , QMHS

Case Manager/Care Coordinator

NPI 1114437118
Julie Baker

Case Manager/Care Coordinator

NPI 1134731797
Heather Cooper , THERAPIST

Counselor - Professional

NPI 1154848653

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location June 01, 2021

Registered at 220 N PLAZA BLVD, CHILLICOTHE, OH 456011787 (Tel: 7407032039)

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Updated Business Mailing Address June 01, 2021

Registered at PO BOX 55, WALTON, KY 410940055 (Tel: 7407032039)

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Provider Name / Credentials Updated June 01, 2021

Recorded as MARISA HATHAWAY

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2021

Counselor (License #CDCA.130532 in OH)

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NPI Profile Deactivated March 08, 2021

Record deactivated on March 08, 2021

NPI Profile Active March 14, 2019

NPI status registered as active in NPPES database

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Updated Practice Location March 14, 2019

Registered at 126 E 2ND ST, CHILLICOTHE, OH 456012593 (Tel: 5138347063)

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Updated Business Mailing Address March 14, 2019

Registered at 446 MORGAN ST, CINCINNATI, OH 452062348 (Tel: 5138340763)

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Provider Name / Credentials Updated March 14, 2019

Recorded as MARISA HATHAWAY, CDCA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2019

Counselor (License #CDCA.130532 in OH)

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Initial NPI Registration & Enumeration March 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376002808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2019
Last Update: June 01, 2021
Deactivation Date: March 08, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 55

Walton, KY 410940055

Phone: 7407032039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.