Individual provider Active NPI

Amanda Ann Brafford

  • Clinical Social Worker
  • Chardon, OH
National Provider Identifier
1538701362
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2309730 Issued in OH
Practice address
12041 Ravenna Rd
Chardon, OH 44024-7008
Phone
(440) 286-7154
Fax
(440) 286-1037
NPI assigned
Oct 14, 2019
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.2309730 OH Primary

Addresses

Primary practice location

12041 Ravenna Rd
Chardon, OH 44024-7008

Mailing address

12041 Ravenna Rd
Chardon, OH 44024-7008
Phone (440) 286-7154

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

LicenseStateTypeSpecialty
S.2309730OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Womensafe, Inc. Clinical PastSince Oct 20, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/womensafe/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1538701362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247008",
            "telephone_number": "440-286-7154",
            "fax_number": "440-286-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247008",
            "telephone_number": "440-286-7154",
            "fax_number": "440-286-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAFFORD",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2309730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.