Individual provider Active NPI

Patricia Sinclair, LISW-S

  • Clinical Social Worker
  • Chagrin Falls, OH
National Provider Identifier
1306176557
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0008346-SUP Issued in OH
Practice address
6000 Nob Hill Dr Apt 313
Chagrin Falls, OH 44022-3352
Phone
(216) 469-8820
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0008346-SUP OH
Clinical Social Worker 1041C0700X I.0008346-SUP OH Primary

Addresses

Primary practice location

6000 Nob Hill Dr Apt 313
Chagrin Falls, OH 44022-3352

Mailing address

6000 Nob Hill Dr Apt 313
Chagrin Falls, OH 44022-3352
Phone (216) 469-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412002258 OH Practitioner - Clinical Social Worker 4082977681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0008346-SUPOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Oct 9, 2021 Accepting new patients

Locations

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

34900 Chardon Rd
Ste 200
Willoughby Hills, OH 44094
Phone (440) 951-5600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1306176557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 NOB HILL DR APT 313",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223352",
            "telephone_number": "216-469-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 NOB HILL DR APT 313",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223352",
            "telephone_number": "216-469-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "PATRICIA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0008346-SUP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0008346-SUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.