Individual provider Active NPI

Charles Patrick Andrzejewski

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1568084077
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2406113 Issued in OH
Practice address
25700 Science Park Dr
280
Beachwood, OH 44122-7137
Phone
(216) 772-3642
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 I.2406113 OH Primary

Addresses

Primary practice location

25700 Science Park Dr
280
Beachwood, OH 44122-7137

Mailing address

25700 Science Park Dr
280
Beachwood, OH 44122-7137
Phone (216) 772-3642

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250311003298 OH Practitioner - Clinical Social Worker 2264953819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Pearl, LLCGroup PAC ID 5597108068, 3 clinicians

Practice addresses (Care Compare)

25700 Science Park Dr
Suite 280
Beachwood, OH 44122-7317
Phone (216) 290-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2406113OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Pearl, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

25700 Science Park Dr
Ste 280
Beachwood, OH 44122
Phone (216) 290-2520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1568084077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR",
            "address_2": "280",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227137",
            "telephone_number": "216-772-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR",
            "address_2": "280",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227137",
            "telephone_number": "216-772-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRZEJEWSKI",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2406113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.