Active NPI
Kathleen M Tolbert, LISW-S, CEAP, SAP
- Clinical Social Worker
- Solon, OH
National Provider Identifier
1417927112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0005315
- Practice address
- 6370 Som Center Road
Suite 205
Solon, OH 44139 - Phone
- (440) 542-9877
- Fax
- (440) 542-9879
- NPI assigned
- Jan 25, 2006
- Last updated
- Feb 1, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | I0005315 | OH | |
| Social Worker | 104100000X | I0005315 | OH | |
| Clinical Social Worker | 1041C0700X | I0005315 | OH | Primary |
| Behavior Analyst | 103K00000X | I0005315 | OH |
Addresses
Primary practice location
6370 Som Center Road
Suite 205
Solon, OH 44139
Mailing address
6370 Som Center Road
Suite 205
Solon, OH 44139
Phone (440) 542-9877
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 |
|---|---|---|---|
| I0005315 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1417927112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6370 SOM CENTER ROAD",
"address_2": "SUITE 205",
"city": "SOLON",
"state": "OH",
"postal_code": "44139",
"telephone_number": "440-542-9877",
"fax_number": "440-542-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6370 SOM CENTER ROAD",
"address_2": "SUITE 205",
"city": "SOLON",
"state": "OH",
"postal_code": "44139",
"telephone_number": "440-542-9877",
"fax_number": "440-542-9879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBERT",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "LISW-S, CEAP, SAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "I0005315",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I0005315",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0005315",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "I0005315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.