Individual provider Active NPI

Jonathan Jaye Niefeld, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1689979221
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1000363 Issued in OH
Practice address
2525 E 22ND St
Cleveland, OH 44115-3202
Phone
(216) 696-5800
Fax
(216) 696-5768
NPI assigned
Jan 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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.1000363 OH Primary

Addresses

Primary practice location

2525 E 22ND St
Cleveland, OH 44115-3202

Mailing address

3392 Kenmore Rd
Shaker Heights, OH 44122-3462
Phone (440) 935-4124

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
I.1000363OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1689979221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3392 KENMORE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223462",
            "telephone_number": "440-935-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153202",
            "telephone_number": "216-696-5800",
            "fax_number": "216-696-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEFELD",
        "first_name": "JONATHAN",
        "middle_name": "JAYE",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.