Edeline C. Cromer, MSSA, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1904498 Issued in OH

Practice address

100 Cooper Foster Park Rd
Amherst, OH 44001-1002

Phone

(440) 634-6014

NPI assigned

Aug 11, 2023

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1417630716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 OAKWOOD AVE",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011002",
            "telephone_number": "440-634-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMER",
        "first_name": "EDELINE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "MSSA, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1904498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Conroy
• Robert Cooperider, LPC
• Corie Kovach MD LLC
• Regina Costantino, LSW
• County of Lorain Ohio
• Christopher J Dalton, D.D.S.
• Paul Vincent Danko, D.D.S.
• David a Delprincipe OD Inc (North Coast Eye Care, Amherst)
• Maria-Elena O Davis, OT
• Tammy Davis

• Clinical Social Worker in Amherst, OH
• Providers in Amherst, 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 Aug 11, 2023; 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.