Individual provider Active NPI

Cara Scrudders, LICSW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1629563507
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125900 Issued in MA
Practice address
3690 Orange PL Ste 320
Beachwood, OH 44122-4432
Phone
(216) 831-1494
Fax
(216) 831-9931
NPI assigned
Jun 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 125900 MA Primary

Addresses

Primary practice location

3690 Orange PL Ste 320
Beachwood, OH 44122-4432

Mailing address

200 Springs Rd
Bedford, MA 01730-1114
Phone (781) 687-2375

Other practice location 1

841 Steubenville Ave
Cambridge, OH 43725-2301
Phone (855) 692-7247

Other names 1

  • Cara Menninger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
125900MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chattree and Associates LTD CurrentSince Nov 8, 2020 Accepting new patients
Cedar Ridge Behavioral Health Solutions LLC PastSince Jul 3, 2002 Accepting new patients
Cedar Ridge Behavioral Health Solutions Past Accepting new patients

Locations

3690 Orange Pl
Ste 320
Beachwood, OH 44122
Phone (216) 831-1494

Organizations & group practices 3

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": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1629563507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-687-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 320",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224432",
            "telephone_number": "216-831-1494",
            "fax_number": "216-831-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Steubenville Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437252301",
            "country_code": "US",
            "telephone_number": "855-692-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCRUDDERS",
        "first_name": "CARA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "MENNINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 16, 2024; 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.