Individual provider Active NPI

Charlotte Drema Slade, MSW, LISW-S

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1013425776
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1312-S Issued in OH
Practice address
966 E 146TH St
Cleveland, OH 44110-3729
Phone
(216) 851-1853
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 I1312-S OH Primary

Addresses

Primary practice location

966 E 146TH St
Cleveland, OH 44110-3729

Mailing address

966 E 146TH St
Cleveland, OH 44110-3729
Phone (216) 851-1853

Other practice location 1

959 E 144th St
Cleveland, OH 44110-3457
Phone (216) 851-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I1312-SOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roger'S Retirement Center, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013425776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 E 146TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103729",
            "telephone_number": "216-851-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 E 146TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103729",
            "telephone_number": "216-851-1853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 E 144th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441103457",
            "country_code": "US",
            "telephone_number": "216-851-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLADE",
        "first_name": "CHARLOTTE",
        "middle_name": "DREMA",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1312-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.