Individual provider Active NPI

J. Christopher Cuda, LISW

  • Clinical Social Worker
  • Lorain, OH
National Provider Identifier
1669771747
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0800293 Issued in OH
Practice address
1865 N Ridge Rd E Ste D
Lorain, OH 44055
Phone
(440) 341-0270
Fax
(440) 277-0459
NPI assigned
Mar 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 I0800293 OH Primary

Addresses

Primary practice location

1865 N Ridge Rd E Ste D
Lorain, OH 44055

Mailing address

1865 N Ridge Rd E Ste D
Lorain, OH 44055-3359
Phone (440) 341-0270

Other practice location 1

1865 N Ridge Rd E Ste D
Lorain, OH 44055-3359
Phone (440) 341-0270

Other identifiers 1

IdentifierTypeStateIssuer
0210684MedicaidOH

Other names 1

  • Chris J Cuda Professional name

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

LicenseStateTypeSpecialty
I0800293OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1669771747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 N RIDGE RD E STE D",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553359",
            "telephone_number": "440-341-0270",
            "fax_number": "440-277-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 N RIDGE RD E STE D",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44055",
            "telephone_number": "440-341-0270",
            "fax_number": "440-277-0459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 N Ridge Rd E Ste D",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440553359",
            "country_code": "US",
            "telephone_number": "440-341-0270",
            "fax_number": "440-277-0459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUDA",
        "first_name": "J. CHRISTOPHER",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0800293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210684",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "CUDA",
            "middle_name": "J",
            "credential": "LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.