Active NPI
Charlotte Thomas, LSW
- Clinical Social Worker
- Beachwood, OH
National Provider Identifier
1487845939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S0700280
- Practice address
- 23240 Chagrin Blvd
Suite 270
Beachwood, OH 44122-5404 - Phone
- (216) 765-0500
- Fax
- (216) 765-0521
- NPI assigned
- Aug 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S0700280 | OH | Primary |
Addresses
Primary practice location
23240 Chagrin Blvd
Suite 270
Beachwood, OH 44122-5404
Mailing address
23240 Chagrin Blvd
Suite 270
Beachwood, OH 44122-5404
Phone (216) 765-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0700280 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1487845939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23240 CHAGRIN BLVD",
"address_2": "SUITE 270",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225404",
"telephone_number": "216-765-0500",
"fax_number": "216-765-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23240 CHAGRIN BLVD",
"address_2": "SUITE 270",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225404",
"telephone_number": "216-765-0500",
"fax_number": "216-765-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CHARLOTTE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S0700280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.