Larry Deitcher

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2303015-TRNE Issued in OH

Practice address

16603 Harvard Ave
Cleveland, OH 44128-2203

Phone

(216) 999-7444

NPI assigned

Apr 12, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1376285056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W RIVER RD S",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355432",
            "telephone_number": "440-714-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16603 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282203",
            "telephone_number": "216-999-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITCHER",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2303015-TRNE",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "W.2300356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Edward Dehart
• Ali Dehghani
• Heather Ann Deighton, CRNA
• Gloria Jane Deignan, RN
• Shannon Deioma, CNM
• Sarah Katherine Deitz, MD
• Diana Lin Deitzer, DO
• Irene L Dejak, MD
• Thomas Robert Dejak, M.D.
• Caroline Nathalie Dejean, M.D.

• Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.