Ryan G Marblestone, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0031278 Issued in OH

Practice address

24200 Chagrin Blvd
Beachwood, OH 44122-5550

Phone

(216) 831-6466

Fax

(216) 766-6084

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1174786313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225550",
            "telephone_number": "216-831-6466",
            "fax_number": "216-766-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225550",
            "telephone_number": "216-831-6466",
            "fax_number": "216-766-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBLESTONE",
        "first_name": "RYAN",
        "middle_name": "G",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0031278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihaela R Manolache, MD
• Petrica Manolache, MD
• Haley Noelle Mansfield, LPCC
• Mohamed Mansour
• Marathon Health LLC
• Marc Solomon Consulting
• Christopher Marcano
• Carole M Marciano, LISW
• Memory Mareya
• Margaret a. Kravanya, D.O., Inc.

• All providers in Beachwood, OH
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.