Active NPI
Charles Patrick Andrzejewski
- Clinical Social Worker
- Beachwood, OH
National Provider Identifier
1568084077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2406113
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| I.2406113 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Pearl, LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.