Active NPI
Kirsten E Fawcett-Dubow, LISW-S
- Clinical Social Worker
- Solon, OH
National Provider Identifier
1174714604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-8879
- Practice address
- 34305 Solon Rd
Solon, OH 44139-2666 - Phone
- (440) 349-3038
- NPI assigned
- Aug 8, 2007
- 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-8879 | OH | Primary |
Addresses
Primary practice location
34305 Solon Rd
Solon, OH 44139-2666
Mailing address
2847 Hampshire Rd
Cleveland HTS, OH 44118-1614
Phone (216) 702-5056
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-8879 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1174714604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2847 HAMPSHIRE RD",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441181614",
"telephone_number": "216-702-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34305 SOLON RD",
"city": "SOLON",
"state": "OH",
"postal_code": "441392666",
"telephone_number": "440-349-3038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWCETT-DUBOW",
"first_name": "KIRSTEN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-8879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.