Katlin Dagg, PSY AIT MA
Individual provider Active NPI Community Health Worker · Brookpark, OH
NPI 1073004685 · NPPES record last updated May 21, 2018
Key facts
- NPI
- 1073004685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 16101 Snow Rd
Brookpark, OH 44142-2817 - Phone
- (440) 260-8300
- NPI assigned
- May 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
16101 Snow Rd
Brookpark, OH 44142-2817
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006
Other providers in Brookpark, OH
- Robert Coleman
- Julie Copenhaver
- Lara Craven
- Ciera Crawford
- Lauren Curtiss
- Zachary Davis
- Parker William Deloney Jr.
- Devoted Family Home Care LLC
- Devoted Family Home Health LLC
- Devoted Family Transportation Company LLC
All providers in Brookpark, OH · Community Health 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 21, 2018. 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.