Individual provider Active NPI

Degra Spencer

  • Clinical Social Worker
  • Strongsville, OH
National Provider Identifier
1144715491
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203695 Issued in OH
Practice address
17637 Shurmer Rd
Strongsville, OH 44136-6157
Phone
(216) 210-4041
NPI assigned
Jun 28, 2018
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1600489 OH
Clinical Social Worker 1041C0700X I.2203695 OH Primary

Addresses

Primary practice location

17637 Shurmer Rd
Strongsville, OH 44136-6157

Mailing address

1949 Green Rd
Cleveland, OH 44121-1160

Other practice location 1

1744 Payne Ave
Cleveland, OH 44114-2910
Phone (216) 623-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20220916002404 OH Practitioner - Clinical Social Worker 7214312859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1600489OHMDSocial Worker
I.2203695OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling Solutions LLC Clinical CurrentSince Aug 1, 2022 Accepting new patients
The Centers for Families and Children Social Worker CurrentSince May 8, 2024 Accepting new patients
Center for Families & Children CurrentSince May 8, 2024 Accepting new patients
The Butterfly Effect Transformation Services LLC Clinical Current Accepting new patients

Locations

12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846

4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404

5209 Detroit Ave
Cleveland, OH 44102
Phone (216) 651-2037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1144715491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GREEN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441211160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17637 SHURMER RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366157",
            "telephone_number": "216-210-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1744 Payne Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142910",
            "country_code": "US",
            "telephone_number": "216-623-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DEGRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1600489",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.