Individual provider Active NPI

Stephanie T Tamburro, LISW-S

  • Clinical Social Worker
  • Garfield Heights, OH
National Provider Identifier
1659678217
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901666-SUPV Issued in OH
Practice address
13201 Granger Rd Ste 8
Garfield Heights, OH 44125-1979
Phone
(216) 831-2255
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 I.1901666-SUPV OH Primary

Addresses

Primary practice location

13201 Granger Rd Ste 8
Garfield Heights, OH 44125-1979

Mailing address

13201 Granger Rd
Garfield Heights, OH 44125-1978
Phone (216) 831-2255

Other identifiers 1

IdentifierTypeStateIssuer
2871101MedicaidOH

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
I20200320002186 OH Practitioner - Clinical Social Worker 6901234137 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1901666-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Jan 19, 2020 Accepting new patients
Generations Behavioral Health-Geneva LLC CurrentSince Jun 26, 2023 Accepting new patients
Generations Behavioral Health-Youngstown, LLC CurrentSince Jun 26, 2023 Accepting new patients
Ohioguidestone CurrentSince Jan 19, 2020 Accepting new patients
Ohioguidestone Current Accepting new patients
Generations Behavioral Health Clinic, LLC CurrentSince Jun 26, 2023 Accepting new patients
Renaissance Behavioral Health LLC CurrentSince May 1, 2022 Accepting new patients
Beech Brook CurrentSince Apr 21, 2024 Accepting new patients
Beech Brook Past Accepting new patients

Locations

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

3500 Carnegie Ave
Cleveland, OH 44115
Phone (440) 260-8327

3740 Euclid Ave
Ste 101
Cleveland, OH 44115
Phone (440) 453-0754

13201 Granger Rd
Ste 8
Garfield Hts, OH 44125
Phone (216) 831-2555

60 West St
Geneva, OH 44041
Phone (440) 466-1181

3737 Lander Rd
Pepper Pike, OH 44124

26600 Renaissance Pkwy
Warrensville Heights, OH 44128
Phone (216) 329-8990

16 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7478

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

Organizations & group practices 9

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1659678217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 GRANGER RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441251978",
            "telephone_number": "216-831-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 GRANGER RD STE 8",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441251979",
            "telephone_number": "216-831-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURRO",
        "first_name": "STEPHANIE",
        "middle_name": "T",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901666-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.