Individual provider Active NPI

Carolee Kamlager, LISW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1619295631
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
23715 Mercantile Rd
Suite 203a
Beachwood, OH 44122-5933
Phone
(216) 292-2880
NPI assigned
May 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2010

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 Primary

Addresses

Primary practice location

23715 Mercantile Rd
Suite 203a
Beachwood, OH 44122-5933

Mailing address

1032 Valley LN
Cincinnati, OH 45229-1932
Phone (513) 751-2487

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
I20100715000423 OH Practitioner - Clinical Social Worker 5496887176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psycho Social Therapies,LTD Clinical CurrentSince May 20, 2010 Accepting new patients
Psycho Social Therapies,LTD CurrentSince May 20, 2010 Accepting new patients

Locations

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

7220 Pippin Rd
Cincinnati, OH 45239
Phone (513) 729-2300

2373 Harrison Ave
Cincinnati, OH 45211
Phone (513) 403-8465

Organizations & group practices 2

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": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1619295631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 VALLEY LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291932",
            "telephone_number": "513-751-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23715 MERCANTILE RD",
            "address_2": "SUITE 203A",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225933",
            "telephone_number": "216-292-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMLAGER",
        "first_name": "CAROLEE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.