Active NPI
India C Brown, LSW
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1629635941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2002103
- Practice address
- 3500 Carnegie Ave
Cleveland, OH 44115-2641 - Phone
- (440) 260-8300
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1501068 | OH | |
| Clinical Social Worker | 1041C0700X | I.2002103 | OH | Primary |
Addresses
Primary practice location
3500 Carnegie Ave
Cleveland, OH 44115-2641
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006
Other practice location 1
1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1501068 | OH | MD | Social Worker |
| I.2002103 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Health LLC | Current | Accepting new patients | |
| Washington Wellness Institute, LLC | Current | Accepting new patients | |
| Rebirth Counseling and Therapy Services LLC | Current | Accepting new patients | |
| Central Outreach Wellness Center | Past | Accepting new patients |
Locations
26300 Cedar Rd
Ste 1105
Beachwood, OH 44122
Phone (216) 200-5433
780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077
16781 Chagrin Blvd
Shaker Hts, OH 44120
Phone (216) 308-9324
Organizations & group practices 4
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.
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- NPI 1871155176
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- NPI 1700407517
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- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1063804136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1629635941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 EASTLAND RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171217",
"telephone_number": "440-234-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CARNEGIE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152641",
"telephone_number": "440-260-8300"
}
],
"practiceLocations": [
{
"address_1": "1251 Nilles Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "OH",
"postal_code": "450147205",
"country_code": "US",
"telephone_number": "513-939-0300",
"fax_number": "513-939-0310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "INDIA",
"middle_name": "C",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1501068",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2002103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.