Charity Brickley
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · East Cleveland, OH
NPI 1215573274 · NPPES record last updated Jan 18, 2023
Key facts
- NPI
- 1215573274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 15007 Euclid Avenue
East Cleveland, OH 44112 - Phone
- (216) 259-9972
- NPI assigned
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.171760 | OH | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CDCA.171760 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
15007 Euclid Avenue
East Cleveland, OH 44112
Mailing address
770 Ravenswood St
Akron, OH 44306-2934
Phone (216) 242-7217
Other providers in East Cleveland, OH
- Carmen Body-Atchinson
- Caroyln Boone
- Patriana Dierra Brandon
- Andrei Brateanu
- Bri Rae Sober Living and Addiction Service
- Julice Lynn Brinkley
- Akilah Brown
- John D Brownlee
- Shamanique Ramika Bryant
- Benita Willetta Burch
All providers in East Cleveland, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.