Active NPI
Katherine A Misterka, MSSA, LISW-S
- Clinical Social Worker
- Elyria, OH
National Provider Identifier
1134427214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I. 1101325 .SUPV
- Practice address
- 347 Midway Blvd
Suite 200
Elyria, OH 44035-9006 - Phone
- (440) 723-5494
- Fax
- (440) 324-9978
- NPI assigned
- Mar 14, 2011
- Last updated
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- No
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. 1101325 .SUPV | OH | Primary |
Addresses
Primary practice location
347 Midway Blvd
Suite 200
Elyria, OH 44035-9006
Mailing address
347 Midway Blvd
Suite 200
Elyria, OH 44035-9006
Phone (440) 723-5494
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I. 1101325 .SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1134427214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 MIDWAY BLVD",
"address_2": "SUITE 200",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440359006",
"telephone_number": "440-723-5494",
"fax_number": "440-324-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 MIDWAY BLVD",
"address_2": "SUITE 200",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440359006",
"telephone_number": "440-723-5494",
"fax_number": "440-324-9978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTERKA",
"first_name": "KATHERINE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MSSA, LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I. 1101325 .SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
- Skyler Miner, PA-C
- Paul John Minnillo, D.D.S.
- Lonnet Sharon Minter, S.T.N.A.
- Dominic Alexander Miranda-Jaram
- Joseph Jeremy Mirci, D.M.D., M.S.
- Niraj Chimanbhai Mistry, MD
- MN Friedman Consulting Inc (Elyria Chiropractic & Rehabilitation)
- Mobile Stat Lab Solutions
- Rebecca Mobley, LPN
- Debera W Moennich, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.