Organization Active NPI

Christina M. Cavaliere, Lisw, LLC

  • Clinical Social Worker
  • Oregon, OH
National Provider Identifier
1437652203
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1200987 Issued in OH
Legal business name
CHRISTINA M. CAVALIERE, LISW, LLC
Practice address
860 Ansonia St Ste 13a
Oregon, OH 43616-3177
Phone
(419) 320-7944
NPI assigned
Mar 17, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Christina Maria Cavaliere, LISWNPI 1801234448
Title
Clinical Therapist
Phone
(419) 320-7944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I.1200987 OH Primary

Addresses

Primary practice location

860 Ansonia St Ste 13a
Oregon, OH 43616-3177

Mailing address

10649 Brown Rd
Curtice, OH 43412-9416
Phone (419) 329-7944

Other identifiers 1

IdentifierTypeStateIssuer
1801234448MedicaidOH

National Provider Directory

National Provider Directory

Locations

860 Ansonia St
Ste 13A
Oregon, OH 43616
Phone (419) 320-7944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1437652203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10649 BROWN RD",
            "city": "CURTICE",
            "state": "OH",
            "postal_code": "434129416",
            "telephone_number": "419-329-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ANSONIA ST STE 13A",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163177",
            "telephone_number": "419-320-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA M. CAVALIERE, LISW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CAVALIERE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "419-320-7944",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801234448",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.