Individual provider Active NPI

Catherine Sheehan Mangan, L.I.S.W.

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1043321839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-328 Issued in OH
Practice address
20325 Center Ridge Rd
Suite 628
Rocky River, OH 44116-3572
Phone
(440) 331-5570
Fax
(440) 331-3221
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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-328 OH Primary

Addresses

Primary practice location

20325 Center Ridge Rd
Suite 628
Rocky River, OH 44116-3572

Mailing address

3543 W 146TH St
Cleveland, OH 44111-3108
Phone (216) 476-2848

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
I-328OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043321839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 W 146TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113108",
            "telephone_number": "216-476-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 CENTER RIDGE RD",
            "address_2": "SUITE 628",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163572",
            "telephone_number": "440-331-5570",
            "fax_number": "440-331-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "CATHERINE",
        "middle_name": "SHEEHAN",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.