Individual provider Active NPI

Sandra D Carrel, LISW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1023304904
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I9026-S Issued in OH
Practice address
25000 Euclid Ave Ste 406
Cleveland, OH 44117-2645
Phone
(216) 731-8815
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I9026-S OH Primary

Addresses

Primary practice location

25000 Euclid Ave Ste 406
Cleveland, OH 44117-2645

Mailing address

2810 Coleridge Rd
Cleveland HTS, OH 44118-3506
Phone (216) 321-2076

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I9026-SOHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center Inc PastSince Apr 14, 2021 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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1023304904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 COLERIDGE RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441183506",
            "telephone_number": "216-321-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 406",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441172645",
            "telephone_number": "216-731-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREL",
        "first_name": "SANDRA",
        "middle_name": "D",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I9026-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 31, 2016; 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.