Active NPI
Richard A. Marvin, L.S.W.
- Social Worker
- Solon, OH
National Provider Identifier
1548648017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1000019
- Practice address
- 7196 Som Center Rd.
Our Redeemer Lutheran Church
Solon, OH 44139 - Phone
- (800) 642-4560
- Fax
- (888) 391-5442
- NPI assigned
- May 15, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1000019 | OH | Primary |
Addresses
Primary practice location
7196 Som Center Rd.
Our Redeemer Lutheran Church
Solon, OH 44139
Mailing address
21515 Chagrin Blvd. Suite 203
Hope Behavioral Health LLC
Beachwood, OH 44122
Phone (800) 642-4560
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1000019 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1548648017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21515 CHAGRIN BLVD. SUITE 203",
"address_2": "HOPE BEHAVIORAL HEALTH LLC",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "800-642-4560",
"fax_number": "888-391-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7196 SOM CENTER RD.",
"address_2": "OUR REDEEMER LUTHERAN CHURCH",
"city": "SOLON",
"state": "OH",
"postal_code": "44139",
"telephone_number": "800-642-4560",
"fax_number": "888-391-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVIN",
"first_name": "RICHARD",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "L.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-15",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1000019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.