Active NPI
De'Sha M Crider, QMHS
- Social Worker
- Cleveland, OH
National Provider Identifier
1366092140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2411003
- Practice address
- 15700 Lotus Dr
Cleveland, OH 44128-2427 - Phone
- (216) 586-3887
- NPI assigned
- Sep 13, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2411003 | OH | Primary |
Addresses
Primary practice location
15700 Lotus Dr
Cleveland, OH 44128-2427
Mailing address
27645 Bishop Park Dr Apt 105
Willoughby Hills, OH 44092-3065
Phone (216) 482-7298
Other practice location 1
26055 Emery Rd
Warrensville Heights, OH 44128-5765
Phone (216) 342-4443
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.2411003 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1174680557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1366092140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27645 BISHOP PARK DR APT 105",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "440923065",
"telephone_number": "216-482-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15700 LOTUS DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441282427",
"telephone_number": "216-586-3887"
}
],
"practiceLocations": [
{
"address_1": "26055 Emery Rd",
"address_purpose": "LOCATION",
"city": "Warrensville Heights",
"state": "OH",
"postal_code": "441285765",
"country_code": "US",
"telephone_number": "216-342-4443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRIDER",
"first_name": "DE'SHA",
"middle_name": "M",
"credential": "QMHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2411003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.