Active NPI
Julia Ann Stidham, MSW, LSW
- Social Worker
- Cleveland, OH
National Provider Identifier
1205347093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1701051
- Practice address
- 3518 W 25TH St
Cleveland, OH 44109-1951 - Phone
- (216) 741-2241
- NPI assigned
- Oct 19, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1701051 | OH | Primary |
Addresses
Primary practice location
3518 W 25TH St
Cleveland, OH 44109-1951
Mailing address
10383 Valley Forge Dr Apt 204
Parma Heights, OH 44130-4583
Phone (216) 282-6430
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 |
|---|---|---|---|
| S.1701051 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1205347093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10383 VALLEY FORGE DR APT 204",
"city": "PARMA HEIGHTS",
"state": "OH",
"postal_code": "441304583",
"telephone_number": "216-282-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 W 25TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091951",
"telephone_number": "216-741-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIDHAM",
"first_name": "JULIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1701051",
"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 Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.