Individual provider Active NPI

Anne Deborah Veneziano, LISW-S, JD

  • Clinical Social Worker
  • Brecksville, OH
National Provider Identifier
1356645170
Registry record updated Jan 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0003528 Issued in OH
Practice address
8227 Brecksville Rd
Ste 104
Brecksville, OH 44141-1370
Phone
(216) 926-7091
Fax
(216) 292-0033
NPI assigned
Jan 8, 2011
Last updated
Jan 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2011

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-0003528 OH Primary

Addresses

Primary practice location

8227 Brecksville Rd
Ste 104
Brecksville, OH 44141-1370

Mailing address

2440 Som Center Rd
Pepper Pike, OH 44124-4214
Phone (216) 926-7091

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
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
I-0003528OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jay H. Berk, PH.D., Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294444800000",
    "number": "1356645170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SOM CENTER RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441244214",
            "telephone_number": "216-926-7091",
            "fax_number": "216-292-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD",
            "address_2": "STE 104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411370",
            "telephone_number": "216-926-7091",
            "fax_number": "216-292-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIANO",
        "first_name": "ANNE",
        "middle_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "LISW-S, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0003528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.