Individual provider Active NPI

Zoe Sara Fletcher

  • Clinical Social Worker
  • Eastlake, OH
National Provider Identifier
1124771282
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
236 Parkway Dr
Eastlake, OH 44095-1417
Phone
(419) 566-5623
NPI assigned
Jan 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X OH Primary

Addresses

Primary practice location

236 Parkway Dr
Eastlake, OH 44095-1417

Mailing address

10 E Main St
Lexington, OH 44904-1223
Phone (419) 566-5623

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL zoesara0503@gmail.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250310001969 OH Practitioner - Clinical Social Worker 1456872241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Health Ohio, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

5502 Nike Dr
Hilliard, OH 43026
Phone (216) 404-1900

1524 Sunset Blvd
Ste A
Steubenville, OH 43952
Phone (740) 264-7751

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1124771282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E MAIN ST",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449041223",
            "telephone_number": "419-566-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 PARKWAY DR",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440951417",
            "telephone_number": "419-566-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "ZOE",
        "middle_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "zoesara0503@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "236 Parkway Dr",
            "city": "Eastlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440951417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eastlake, OH

Sources for this page

Verify at the official NPI Registry.