John Harvis-Bey
Individual provider Active NPI Clinical Social Worker · Avon Lake, OH
NPI 1023301322 · NPPES record last updated May 18, 2011
Key facts
- NPI
- 1023301322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.0007752 (OH)
- Practice address
- 223 Miller Rd
Avon Lake, OH 44012-1004 - Phone
- (440) 742-1661
- Fax
- (440) 930-2085
- NPI assigned
- May 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0007752 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Leaf Counseling Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0007752 | OH | Yes |
Addresses
Primary practice location
223 Miller Rd
Avon Lake, OH 44012-1004
Mailing address
15715 Westview Ave
Cleveland, OH 44128-2125
Phone (216) 269-4212
Other providers in Avon Lake, OH
- Haidar Almhana and Nieding LLC
- Robin M Hale
- Lisa Harasimchuk
- Mary Helen Harmych
- Alexandra Harrison
- Brianna Rose Hazelet
- Hallie Marie Henry
- Paul Gary Heyslinger
- Tina Hicov
- Sarah Higley
All providers in Avon Lake, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.