Individual provider Active NPI

Denise M Sadler, LISW-S

  • Clinical Social Worker
  • Berea, OH
National Provider Identifier
1609122001
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1451268-SUPV Issued in OH
Practice address
202 E Bagley Rd
Berea, OH 44017
Phone
(800) 639-4974
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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.1451268-SUPV OH Primary

Addresses

Primary practice location

202 E Bagley Rd
Berea, OH 44017

Mailing address

3603 Blache Avenue
Cleveland Heights, OH 44118
Phone (216) 254-1692

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
I20200318001853 OH Practitioner - Clinical Social Worker 0143658559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1451268-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nirvana Health & Wellness Inc CurrentSince Dec 28, 2019 Accepting new patients

Locations

4520 Oberlin Ave
Ste 3
Lorain, OH 44053
Phone (440) 503-6692

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1609122001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 BLACHE AVENUE",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-254-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "44017",
            "telephone_number": "800-639-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1451268-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

Verify at the official NPI Registry.