Active NPI
Jeneane Vaughn
- Social Worker
- Bedford Heights, OH
National Provider Identifier
1205443447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1701690
- Practice address
- 5198 Richmond Rd
Bedford Heights, OH 44146-1331 - Phone
- (216) 378-9101
- NPI assigned
- Sep 30, 2020
- 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.1701690 | OH | Primary |
Addresses
Primary practice location
5198 Richmond Rd
Bedford Heights, OH 44146-1331
Mailing address
4577 E Berwald Rd
South Euclid, OH 44121-3925
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.1701690 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1205443447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4577 E BERWALD RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5198 RICHMOND RD",
"city": "BEDFORD HEIGHTS",
"state": "OH",
"postal_code": "441461331",
"telephone_number": "216-378-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "JENEANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1701690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.