Active NPI
Mary Whiteamire, SW-T
- Social Worker
- Cleveland, OH
National Provider Identifier
1376045542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1610231
- Practice address
- 13422 Kinsman Rd
Cleveland, OH 44120-4410 - Phone
- (216) 283-4400
- Fax
- (216) 283-5359
- NPI assigned
- Mar 5, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1610231 | OH | Primary |
Addresses
Primary practice location
13422 Kinsman Rd
Cleveland, OH 44120-4410
Mailing address
11807 Franklin Blvd
Lakewood, OH 44107-5107
Phone (216) 283-4400
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.1610231 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1376045542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11807 FRANKLIN BLVD",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441075107",
"telephone_number": "216-283-4400",
"fax_number": "216-283-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13422 KINSMAN RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441204410",
"telephone_number": "216-283-4400",
"fax_number": "216-283-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEAMIRE",
"first_name": "MARY",
"credential": "SW-T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1610231",
"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 Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.