Active NPI
Jade Berry, LISW
- Clinical Social Worker
- Beachwood, OH
National Provider Identifier
1104467273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2203662
- Practice address
- 23215 Commerce Park
Beachwood, OH 44122-5803 - Phone
- (216) 244-7350
- NPI assigned
- Sep 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.2203662 | OH | Primary |
Addresses
Primary practice location
23215 Commerce Park
Beachwood, OH 44122-5803
Mailing address
23215 Commerce Park
Beachwood, OH 44122-5803
Phone (216) 244-7350
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jade.berry@empoweringics.com |
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 |
|---|---|---|---|
| I.2203662 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psycho Social Therapies,LTD | Clinical | Past | Accepting new patients |
| Empowering Integrated Care Solutions, LLC | Past | Accepting new patients | |
| Empowering Integrated Care Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Warrensville Heights, OH
- NPI 1053864850
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warrensville Heights, OH
- NPI 1922543982
-
- Clinical Social Worker
- Beachwood, OH
- NPI 1750335261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1104467273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23215 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225803",
"telephone_number": "216-244-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23215 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225803",
"telephone_number": "216-244-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "JADE",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2203662",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jade.berry@empoweringics.com",
"affiliation": "N",
"address_1": "23215 Commerce Park Ste 306",
"city": "Beachwood",
"state": "OH",
"country_code": "US",
"postal_code": "441225843",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.