Active NPI
Cristina Lyn Suitca, MSW, LISW
- Clinical Social Worker
- Alliance, OH
National Provider Identifier
1639711690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901842
- Practice address
- 2011 Glamorgan St Ste B
Alliance, OH 44601-2709 - Phone
- (330) 614-2777
- NPI assigned
- Oct 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1901842 | OH | Primary |
Addresses
Primary practice location
2011 Glamorgan St Ste B
Alliance, OH 44601-2709
Mailing address
PO Box 2688
Alliance, OH 44601-0688
Phone (330) 680-9020
Other names 1
- Miss Cristina Lyn Hampu
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2011 Glamorgan St
Suite B
Alliance, OH 44601-2709
Phone (330) 680-9020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1901842 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Counseling Services LLC | Clinical | Current | Accepting new patients |
Locations
2011 Glamorgan St
#B
Alliance, OH 44601
Phone (304) 821-0023
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.
-
- Clinical Social Worker
- Alliance, OH
- NPI 1184250185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1639711690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2688",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446010688",
"telephone_number": "330-680-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 GLAMORGAN ST STE B",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446012709",
"telephone_number": "330-614-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUITCA",
"first_name": "CRISTINA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "MSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTINA",
"last_name": "HAMPU",
"middle_name": "LYN",
"prefix": "MISS",
"credential": "MSW, LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.
- 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.