Active NPI
Marlene Bronislawa Trzaska, ATR
- Clinical Social Worker
- Chardon, OH
National Provider Identifier
1669597597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05-216
- Practice address
- 100 Parker CT
Chardon, OH 44024-1141 - Phone
- (440) 286-1553
- Fax
- (440) 286-1318
- NPI assigned
- Mar 20, 2007
- 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 | 05-216 | NC | Primary |
Addresses
Primary practice location
100 Parker CT
Chardon, OH 44024-1141
Mailing address
100 Parker CT
Chardon, OH 44024-1141
Phone (440) 286-1553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427013556 | Other | OH | NPI ORGANIZATIONAL NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05-216 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Pride Incorporated | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Chardon, OH
- NPI 1164488706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669597597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARKER CT",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241141",
"telephone_number": "440-286-1553",
"fax_number": "440-286-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PARKER CT",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241141",
"telephone_number": "440-286-1553",
"fax_number": "440-286-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRZASKA",
"first_name": "MARLENE",
"middle_name": "BRONISLAWA",
"name_prefix": "Miss",
"credential": "ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "05-216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI ORGANIZATIONAL NUMBER",
"identifier": "1427013556",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.