Active NPI
Joan Beth Raskin, L.I.S.W.
- Clinical Social Worker
- South Euclid, OH
National Provider Identifier
1669611802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0009260
- Practice address
- 939 S Green Rd Apt 3F
South Euclid, OH 44121-3480 - Phone
- (440) 346-9492
- NPI assigned
- Feb 11, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 0009260 | OH | Primary |
Addresses
Primary practice location
939 S Green Rd Apt 3F
South Euclid, OH 44121-3480
Mailing address
939 South Green Road
#3F
South Euclid, OH 44121-3480
Phone (440) 346-9492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009260 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1669611802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 SOUTH GREEN ROAD",
"address_2": "#3F",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213480",
"telephone_number": "440-346-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 S GREEN RD APT 3F",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213480",
"telephone_number": "440-346-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASKIN",
"first_name": "JOAN",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "L.I.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "0009260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.