Active NPI
Sharon Blackledge, LISW-S
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1366746273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 0009054
- Practice address
- 22001 Fairmount Blvd
Cleveland, OH 44118-4819 - Phone
- (216) 932-2800
- NPI assigned
- Jan 6, 2011
- Sex
- Female
- 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 | I 0009054 | OH | Primary |
Addresses
Primary practice location
22001 Fairmount Blvd
Cleveland, OH 44118-4819
Mailing address
22001 Fairmount Blvd
Cleveland, OH 44118-4819
Phone (216) 932-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 0009054 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1366746273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22001 FAIRMOUNT BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441184819",
"telephone_number": "216-932-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22001 FAIRMOUNT BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441184819",
"telephone_number": "216-932-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKLEDGE",
"first_name": "SHARON",
"name_prefix": "Ms.",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 0009054",
"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 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.