Stephanie Ann Hercik, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0900106.SUPV Issued in OH

Practice address

310 W Lakeside Ave Ste 500
Cleveland, OH 44113

Phone

(216) 443-8256

NPI assigned

Nov 28, 2016

Last updated

Oct 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cuyahoga County Tasc

  • Social Worker
  • Cleveland, OH
  • NPI 1811024433
  NPD (past)
• Cuyahoga County Tasc

  • Professional Counselor
  • Cleveland, OH
  • NPI 1922597210
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1548703374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W LAKESIDE AVE STE 500",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441131069",
            "telephone_number": "216-443-8256",
            "fax_number": "216-443-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W LAKESIDE AVE STE 500",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44113",
            "telephone_number": "216-443-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 W 3rd St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441131514",
            "country_code": "US",
            "telephone_number": "216-443-8256",
            "fax_number": "216-443-8272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 W Lakeside Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44113",
            "country_code": "US",
            "telephone_number": "216-443-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERCIK",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900106.SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher W Herbert, D.P.M.
• Eileen F Herbert, MD
• Linda Ann Herbert, LISW-S
• Kenneth Herbold, PA-C
• Aleck A Hercbergs, M.D.
• Brittany Monet Hereford
• Gustavo Adolfo Heresi Davila, M.D.
• Paul F Hergenroeder, MD
• Christina Veronica Hericks, ANP-BC
• Shawnte J Herkley

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, 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 Oct 19, 2018; 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.