Individual provider Active NPI

Julia K Przybysz, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1073954541
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1302226 Issued in OH
Practice address
3929 Rocky River Dr
Cleveland, OH 44111-4153
Phone
(216) 252-5800
NPI assigned
Jul 12, 2013
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.700750 OH
Clinical Social Worker 1041C0700X S.1302226 OH Primary

Addresses

Primary practice location

3929 Rocky River Dr
Cleveland, OH 44111-4153

Mailing address

4500 Euclid Ave
Cleveland, OH 44103-3736
Phone (216) 252-5800

Other identifiers 1

IdentifierTypeStateIssuer
2871101MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201000309 OH Practitioner - Clinical Social Worker 9931469442 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.700750OHMDSocial Worker
S.1302226OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Centers for Families and Children Social Worker CurrentSince Dec 30, 2017 Accepting new patients
Center for Families & Children CurrentSince Dec 30, 2017 Accepting new patients
Coleman Professional Services, Inc. Social Worker CurrentSince Mar 10, 2025 Accepting new patients
Circle Health Services Past Accepting new patients
Circle Health Services Past Accepting new patients

Locations

3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800

4400 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9355

4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

68150 Bayberry Dr
Saint Clairsville, OH 43950
Phone (740) 699-2300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1073954541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033736",
            "telephone_number": "216-252-5800",
            "fax_number": "216-252-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114153",
            "telephone_number": "216-252-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYSZ",
        "first_name": "JULIA",
        "middle_name": "K",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.700750",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1302226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.