Active NPI
Tea Jovanovic, LSW
- Social Worker
- Westlake, OH
National Provider Identifier
1346085289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2309889
- Practice address
- 24500 Center Ridge Rd
Westlake, OH 44145-5601 - Phone
- (440) 201-4488
- NPI assigned
- Jul 1, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S.2309889 | OH | |
| Social Worker | 104100000X | S.2309889 | OH | Primary |
Addresses
Primary practice location
24500 Center Ridge Rd
Westlake, OH 44145-5601
Mailing address
1677 Woodhurst Ave
Mayfield Heights, OH 44124-3407
Phone (440) 862-1624
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.2309889 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1346085289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1677 WOODHURST AVE",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441243407",
"telephone_number": "440-862-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24500 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455601",
"telephone_number": "440-201-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOVANOVIC",
"first_name": "TEA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S.2309889",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2309889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.