Individual provider Active NPI

Aminah C. T. Brahim-Jimenez, LISW-S

  • Clinical Social Worker
  • Hudson, OH
National Provider Identifier
1003111840
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009413-SUPV Issued in OH
Practice address
591 Boston Mills Rd Ste 550
Hudson, OH 44236-1160
Phone
(234) 269-6200
Fax
(234) 602-2192
NPI assigned
Jan 25, 2011
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 I.0009413-SUPV OH Primary

Addresses

Primary practice location

591 Boston Mills Rd Ste 550
Hudson, OH 44236-1160

Mailing address

9826 Washington St
Chagrin Falls, OH 44023-5401
Phone (440) 708-0188

Other practice location 1

3737 Lander Rd
Pepper Pike, OH 44124-5712
Phone (216) 831-2255 ext. 5303

Other identifiers 1

IdentifierTypeStateIssuer
0268768MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014002864 OH Practitioner - Clinical Social Worker 7810228368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jones-Wood Psychological Associates, Inc. CurrentSince Aug 19, 2019 Accepting new patients

Locations

9826 Washington St
Chagrin Falls, OH 44023
Phone (440) 708-0188

591 Boston Mills Rd
Ste 550
Hudson, OH 44236
Phone (234) 269-6200

Networks

  • KY PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • KY PPO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1003111840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235401",
            "telephone_number": "440-708-0188",
            "fax_number": "440-708-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 BOSTON MILLS RD STE 550",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361160",
            "telephone_number": "234-269-6200",
            "fax_number": "234-602-2192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Lander Rd",
            "address_purpose": "LOCATION",
            "city": "Pepper Pike",
            "state": "OH",
            "postal_code": "441245712",
            "country_code": "US",
            "telephone_number": "216-831-2255 x5303",
            "fax_number": "216-378-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAHIM-JIMENEZ",
        "first_name": "AMINAH",
        "middle_name": "C. T.",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009413-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.