Gregory Vazquez-Norman, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1451118-SUPV Issued in OH

Practice address

22001 Fairmount Blvd
Shaker Heights, OH 44118

Phone

(216) 320-6699

NPI assigned

Feb 19, 2015

Last updated

Jun 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1649662214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N GRANT AVE",
            "address_2": "SUITE 205",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-320-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-NORMAN",
        "first_name": "GREGORY",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1451118-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197473",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rachel Van Horn
• Danielle Vancura, LISW
• Bianca Vanitzan
• Jessica Venditti, LPCC
• Galina Verbitsky
• Matthew Vibbert, PHARMD, RPH
• Matthew John Villaire, DDS
• Lauren Voight, RN

• Clinical Social Worker in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.