Kelly M Vanderschaegen, MSSA, LISW, ACM-SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304287 Issued in OH

Practice address

16761 Southpark Ctr
Strongsville, OH 44136-9302

Phone

(440) 878-2500

Fax

(440) 878-2530

NPI assigned

Jan 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kelly Mason Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Summit Academy Community School Parma

  • Local Education Agency (LEA)
  • Parma, OH
  • NPI 1184818627
  NPD (past)
• Summit Academy Management

  • Community/Behavioral Health Agency
  • Akron, OH
  • NPI 1295882488

  Clinical

  NPD (past)

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1043632532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16761 SOUTHPARK CTR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441369302",
            "telephone_number": "440-878-2500",
            "fax_number": "440-878-2530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441951736",
            "country_code": "US",
            "telephone_number": "216-636-1873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5868 Stumph Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441301736",
            "country_code": "US",
            "telephone_number": "440-888-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERSCHAEGEN",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSSA, LISW, ACM-SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MASON",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• University Primary Care Practices Inc
• University Primary Care Practices Inc
• University Primary Care Practices, Inc
• Usv Optical Inc.
• Jason Valent, M.D.
• Elizabeth Katalin Vannuyen, RN
• Nemy Endoso Vargas, RN
• Frank E. Vargo, D.P.M.
• Callie Marie Vasilakis, DMD
• Ravali Veeramachaneni, MD

• Clinical Social Worker in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.