Active NPI
Joanna Castrilla-Cole, LCSW
- Clinical Social Worker
- Ashtabula, OH
National Provider Identifier
1083017453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006106
- Practice address
- 4726 Main Ave
Ashtabula, OH 44004-6929 - Phone
- (440) 992-8552
- Fax
- (440) 992-6631
- NPI assigned
- Sep 30, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I1450644 | OH | |
| Clinical Social Worker | 1041C0700X | CSW006106 | GA | Primary |
Addresses
Primary practice location
4726 Main Ave
Ashtabula, OH 44004-6929
Mailing address
PO Box 91
Roswell, GA 30077-0091
Phone (440) 813-5263
Other names 1
- Joanna Castrilla
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006106 | GA | MD | Clinical Social Worker |
| I1450644 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1083017453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300770091",
"telephone_number": "440-813-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4726 MAIN AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440046929",
"telephone_number": "440-992-8552",
"fax_number": "440-992-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRILLA-COLE",
"first_name": "JOANNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1450644",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "CASTRILLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.