Active NPI
Collindale Therapy LLC
- Clinical Social Worker
- Lakewood, OH
National Provider Identifier
1093675951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- COLLINDALE THERAPY LLC
- Practice address
- 1283 Donald Ave
Lakewood, OH 44107-2805 - Phone
- (646) 238-2724
- NPI assigned
- Nov 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Goad, LISW-S
- Title
- Clinical Director
- Phone
- (646) 238-2724
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1283 Donald Ave
Lakewood, OH 44107-2805
Mailing address
1283 Donald Ave
Lakewood, OH 44107-2805
Phone (646) 238-2724
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1093675951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1283 DONALD AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441072805",
"telephone_number": "646-238-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1283 DONALD AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441072805",
"telephone_number": "646-238-2724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLINDALE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "GOAD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "646-238-2724",
"authorized_official_credential": "LISW-S"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.