Active NPI
Kimmeri Ventresca, LISW S
- Clinical Social Worker
- Akron, OH
National Provider Identifier
1457326407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0700207
- Practice address
- 611 W Market St
Akron, OH 44303-1406 - Phone
- (330) 996-4600
- Fax
- (330) 564-9296
- NPI assigned
- Feb 22, 2006
- Last updated
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S0030755 | OH | |
| Clinical Social Worker | 1041C0700X | I0700207 | OH | Primary |
Addresses
Primary practice location
611 W Market St
Akron, OH 44303-1406
Mailing address
611 W Market St
Akron, OH 44303-1406
Phone (330) 996-4600
Other practice location 1
246 Northland Dr
#200A
Medina, OH 44256-1533
Phone (330) 725-9195 ext. 14
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0700207 | OH | MD | Clinical Social Worker |
| S0030755 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1457326407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031406",
"telephone_number": "330-996-4600",
"fax_number": "330-564-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031406",
"telephone_number": "330-996-4600",
"fax_number": "330-564-9296"
}
],
"practiceLocations": [
{
"address_1": "246 Northland Dr",
"address_2": "#200A",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "OH",
"postal_code": "442561533",
"country_code": "US",
"telephone_number": "330-725-9195 x14",
"fax_number": "330-725-9187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENTRESCA",
"first_name": "KIMMERI",
"credential": "LISW S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S0030755",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0700207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.