Shamika Denise Hayworth, is a
Respite Care based in Lorain, Ohio. Shamika Denise Hayworth is licensed to practice in Ohio (license number ) and her current practice location is
6143 Goldenrod Ln, Lorain, Ohio. She can be reached at her office (for appointments etc.) via phone at
(317) 362-4227.
NPI number for Shamika Denise Hayworth is 1326799040 and her current mailing address is 18921 Coffinberry Blvd, Cleveland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326799040.
Healthcare Provider's Profile
| Full Name | Shamika Denise Hayworth |
|---|
| Gender | Female |
|---|
| Speciality | Respite Care |
|---|
| Location | 6143 Goldenrod Ln, Lorain, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326799040
- Provider Enumeration Date: 01/13/2022
- Last Update Date: 08/03/2024
Medical Identifiers
Medical identifiers for Shamika Denise Hayworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326799040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | Secondary |
| 171W00000X | Contractor | (Ohio) | Secondary |
| 172V00000X | Community Health Worker | (Ohio) | Secondary |
| 103K00000X | Behavior Analyst | (Ohio) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 376K00000X | Nurse's Aide | (Ohio) | Secondary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
| 385HR2055X | Respite Care - Respite Care, Mental Illness, Child | (Ohio) | Secondary |
| 385H00000X | Respite Care | (Ohio) | Primary |
| 385HR2055X | Respite Care - Respite Care, Mental Illness, Child | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shamika Denise Hayworth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shamika Denise Hayworth,
18921 Coffinberry Blvd,
Cleveland, OH 44126-1601
Ph: (216) 225-9799 | Shamika Denise Hayworth,
6143 Goldenrod Ln,
Lorain, OH 44053-4371
Ph: (317) 362-4227 |
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