Christine Vavro, MA, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1901684 Issued in OH

Practice address

8353 Mentor Ave Ste 6
Mentor, OH 44060-5700

Phone

(440) 413-4637

NPI assigned

Dec 2, 2017

Last updated

Nov 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• A Space for Healing

  • Community/Behavioral Health Agency
  • Mentor, OH
  • NPI 1669013934
  Authorized official Same address or phone

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1114432978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 STATION STREET",
            "address_2": "STE 300J",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605700",
            "telephone_number": "440-413-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 MENTOR AVE STE 6",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605700",
            "telephone_number": "440-413-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9220 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606412",
            "country_code": "US",
            "telephone_number": "440-639-3581",
            "fax_number": "440-205-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAVRO",
        "first_name": "CHRISTINE",
        "credential": "MA, MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Vanderhorst, LPCC
• Arthur Vandyke, M.D.
• Sarah Vanvechten
• Kathryn Elizabeth Varga
• Lydia Vasile, R.N.
• Kathleen Ann Vavro, LSW LPC
• William Scott Veenstra, LISW, LICDC
• Jennifer A Velotta, M.D.
• Pauline Esther Velotta, LSW
• Pamela Susan Vencl, NATUROPATH

• Clinical Social Worker in Mentor, OH
• Providers in Mentor, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.