Active NPI
Brianne J Tolley
- Clinical Social Worker
- Independence, OH
National Provider Identifier
1073863767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1451332
- Practice address
- 5905 Brecksville Rd
Independence, OH 44131-1517 - Phone
- (216) 524-4673
- NPI assigned
- Sep 11, 2012
- Last updated
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | S1000412 | OH | |
| Clinical Social Worker | 1041C0700X | I.1451332 | OH | Primary |
Addresses
Primary practice location
5905 Brecksville Rd
Independence, OH 44131-1517
Mailing address
202 E Bagley Rd
Berea, OH 44017-2058
Phone (800) 234-2006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1000412 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone of Hope Inc | Clinical | Current | Accepting new patients |
Locations
5905 Brecksville Rd
Independence, OH 44131
Phone (216) 524-4673
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Independence, OH
- NPI 1962805648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1073863767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440172058",
"telephone_number": "800-234-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 BRECKSVILLE RD",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441311517",
"telephone_number": "216-524-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLEY",
"first_name": "BRIANNE",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "S1000412",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1451332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
- Joshua Thompson, PTA
- TLC the Laser Center (Northeast) Inc. (TLC Laser Eye Centers Cleveland)
- Tamara Ann Todt
- Kimberly Ann Togliatti-Trickett, M.D.
- Toledo Center for Eating Disorders LLC (Pasadena Villa Outpatient - Cleveland)
- Jaclyn A Tomsic, MD
- Judith Mary Topola, INDEPENDENT PROVIDER
- Augusto Torres, MD
- Melanie Tran
- Patricia W Travis, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.