Scott Brinkman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S 080050018 Issued in OH

Practice address

8227 Brecksville Rd
Suite 104
Brecksville, OH 44141-1370

Phone

(440) 526-0468

Fax

(440) 526-0454

NPI assigned

Aug 21, 2014

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiffany Manrodt, LISW

  • Clinical Social Worker
  • Westlake, OH
  • NPI 1326557836
  Medicare reassignment
• Holding Space LLC

  dba Tiffany Manrodt

  • Psychiatry Physician
  • Westlake, OH
  • NPI 1033772421

  Clinical

  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1457750887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 OLD SPRING RD",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211417",
            "telephone_number": "330-620-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD",
            "address_2": "SUITE 104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411370",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S 080050018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brecksville Healthcare Group, Inc. (Oaks of Brecksville)
• Brecksville Kids Dentistry (Jennifer Bryk Hechko, DDS, MS, LLC)
• Brecksville Opticians, Inc
• Brecksville-Broadview Heights City School District
• Bright Path Counseling LLC
• Donald Earl Brooks, LSW
• Madeline Susan Brown, RD
• Lynava T Buchanan, APRN, CNS
• Brittany Buescher
• Blane Burlingham, MSW, LICDC

• 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 Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.