Active NPI
Jeffrey Land, LISW-S
- Clinical Social Worker
- Concord TWP, OH
National Provider Identifier
1245669506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1755
- Practice address
- 7048 Bentley PL
Concord TWP, OH 44077-2212 - Phone
- (440) 352-1535
- NPI assigned
- Nov 7, 2013
- Last updated
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I1755 | OH | Primary |
Addresses
Primary practice location
7048 Bentley PL
Concord TWP, OH 44077-2212
Mailing address
7048 Bentley PL
Concord TWP, OH 44077-2212
Phone (440) 352-1535
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
| License | State | Type | Specialty |
|---|---|---|---|
| I1755 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1245669506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7048 BENTLEY PL",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440772212",
"telephone_number": "440-352-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7048 BENTLEY PL",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440772212",
"telephone_number": "440-352-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAND",
"first_name": "JEFFREY",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord TWP, OH
- Lake Hospital System Inc.
- Lake Hospital System, Inc
- Lake Hospital System, Inc (Lake Health)
- Lake Hospital System, Inc. Dba Lake Health (Lake Health Rehabilitation Unit)
- Lake Orthopaedic Associates, Inc.
- Leonard M Weinberger MD Inc
- Dawn J Linch, OTA 02108
- Cherese Rocquemore Lofton
- Patricia Marie Lord, RN, BSN, CDE
- Arminda L Lumapas, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.