Active NPI
Jeffrey A Neal
- Social Worker
- Garfield Heights, OH
National Provider Identifier
1689173908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0021827
- Practice address
- 12395 McCracken Rd Ste a-Up
Garfield Heights, OH 44125-2967 - Phone
- (440) 781-5245
- Fax
- (216) 587-6727
- NPI assigned
- Feb 2, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0021827 | OH | Primary |
Addresses
Primary practice location
12395 McCracken Rd Ste a-Up
Garfield Heights, OH 44125-2967
Mailing address
39631 Calann Dr
Elyria, OH 44035-8133
Phone (440) 752-4756
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 |
|---|---|---|---|
| S.0021827 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517529600000",
"number": "1689173908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39631 CALANN DR",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440358133",
"telephone_number": "440-752-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 MCCRACKEN RD STE A-UP",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441252967",
"telephone_number": "440-781-5245",
"fax_number": "216-587-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "JEFFREY",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0021827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.