Individual provider Active NPI

Klare Heston, L.I.S.W.

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1245355940
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009364 Issued in OH
Practice address
16600 W Sprague Rd Ste 90
Cleveland, OH 44130-6318
Phone
(440) 941-0425
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0009364 OH Primary

Addresses

Primary practice location

16600 W Sprague Rd Ste 90
Cleveland, OH 44130-6318

Mailing address

8481 Bank St
Vermilion, OH 44089-9432
Phone (440) 319-0446

Other practice location 1

24500 Center Ridge Rd Ste 220
Westlake, OH 44145-5663
Phone (216) 801-4656

Other names 1

  • Klare Acs-Braja Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009364OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1245355940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8481 BANK ST",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899432",
            "telephone_number": "440-319-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 90",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441306318",
            "telephone_number": "440-941-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24500 Center Ridge Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441455663",
            "country_code": "US",
            "telephone_number": "216-801-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESTON",
        "first_name": "KLARE",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KLARE",
            "last_name": "ACS-BRAJA",
            "credential": "L.I.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 20, 2019; 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.