Individual provider Active NPI

David J. Menke, LISW, SAP

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1144528332
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0700443 Issued in OH
Practice address
2592 W 14TH St
Cleveland, OH 44113-4409
Phone
(216) 502-2209
NPI assigned
Mar 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1200439 OH
Social Worker 104100000X S.0700443 OH Primary

Addresses

Primary practice location

2592 W 14TH St
Cleveland, OH 44113-4409

Mailing address

2592 W 14TH St
Cleveland, OH 44113-4409
Phone (216) 502-2209

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

LicenseStateTypeSpecialty
S.0700443OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sactuary Health, LLC Clinical PastSince Mar 1, 2014 Accepting new patients

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": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1144528332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 W 14TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134409",
            "telephone_number": "216-502-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 W 14TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134409",
            "telephone_number": "216-502-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LISW, SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200439",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0700443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.