George Iouannis Kasidonis Jr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0700076 Issued in OH

Practice address

10000 Brecksville Rd
Loius Stokes VA Medical Center Brecksville
Brecksville, OH 44141-3204

Phone

(440) 526-3030

Fax

(440) 717-2831

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386768661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 GIFFORD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441442966",
            "telephone_number": "440-390-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "address_2": "LOIUS STOKES VA MEDICAL CENTER BRECKSVILLE",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030",
            "fax_number": "440-717-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIDONIS",
        "first_name": "GEORGE",
        "middle_name": "IOUANNIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Johnson, MSW
• Megan Johnston, LSW
• Amy Maya Kamath, SLP
• Boris Alexander Karaman, MD
• Kaitlynn Karthan, OTR/L
• Makenzie Marie Katsap, APRN
• Therese Anne Keary, PH.D.
• Laurie Kelley, OTR/L
• Anita Louise Kellon, RN
• Sue E Keyse, CNP

• Clinical Social Worker in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.