Individual provider Active NPI

Natalie Ann Bryan, LSW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1013505916
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304503 Issued in OH
Practice address
1302 Winslow Ave
Cleveland, OH 44113-2336
Phone
(216) 781-0550
NPI assigned
Jan 6, 2021
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X S.2005547 OH
Clinical Social Worker 1041C0700X I.2304503 OH Primary

Addresses

Primary practice location

1302 Winslow Ave
Cleveland, OH 44113-2336

Mailing address

12495 Cedar Rd Apt 1B
Cleveland Heights, OH 44106-3278
Phone (440) 749-0937

Other practice location 1

1320 Washington Ave
Cleveland, OH 44113-2333
Phone (216) 781-0550

Other identifiers 1

IdentifierTypeStateIssuer
0437289MedicaidOH

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
I20240626003662 OH Practitioner - Clinical Social Worker 6608310024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter Arian LLCGroup PAC ID 5193167112, 6 clinicians

Practice addresses (Care Compare)

3500 Lorain Ave
Suite 300
Cleveland, OH 44113-3726
Phone (216) 315-2609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2005547OHMDSocial Worker
I.2304503OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Arian LLC CurrentSince May 1, 2024 Accepting new patients
Kaitlyn Cassidy LLC CurrentSince May 1, 2024 Accepting new patients
Hitchcock Center for Women, Inc PastSince Jan 1, 2021 Accepting new patients

Locations

3500 Lorain Ave
Ste 300
Cleveland, OH 44113
Phone (216) 250-1607

Organizations & group practices 4

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1013505916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 CEDAR RD APT 1B",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063278",
            "telephone_number": "440-749-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 WINSLOW AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132336",
            "telephone_number": "216-781-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441132333",
            "country_code": "US",
            "telephone_number": "216-781-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2005547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.