Organization Active NPI

Catherine Lazar LLC

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1104435197
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CATHERINE LAZAR LLC
Practice address
20525 Center Ridge Rd Ste 303
Rocky River, OH 44116-3424
Phone
(440) 561-0111
Fax
(216) 228-5818
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Catherine L Lazar, LISW
Title
Sole Owner/Provider
Phone
(440) 561-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

20525 Center Ridge Rd Ste 303
Rocky River, OH 44116-3424

Mailing address

4200 Brainard Rd
Chagrin Falls, OH 44022-1406
Phone (440) 561-0111

Other identifiers 1

IdentifierTypeStateIssuer
0293309MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1104435197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BRAINARD RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440221406",
            "telephone_number": "440-561-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 303",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163424",
            "telephone_number": "440-561-0111",
            "fax_number": "216-228-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE LAZAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE OWNER/PROVIDER",
        "authorized_official_telephone_number": "440-561-0111",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293309",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.