Individual provider Active NPI

Michal M Stavsky, LSW

  • Social Worker
  • Lyndhurst, OH
National Provider Identifier
1699534636
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2309472 Issued in OH
Practice address
5010 Mayfield Rd Ste 306
Lyndhurst, OH 44124-2697
Phone
(216) 591-6191
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S.2309472 OH
Social Worker 104100000X S.2309472 OH Primary

Addresses

Primary practice location

5010 Mayfield Rd Ste 306
Lyndhurst, OH 44124-2697

Mailing address

2187 S Belvoir Blvd
University Heights, OH 44118-3311
Phone (201) 681-5544

Other practice location 1

2187 S Belvoir Blvd
University Heights, OH 44118-3311
Phone (201) 681-5544

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
S.2309472OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Naaleh Cleveland Inc Mental Health CurrentSince Mar 17, 2024 Accepting new patients

Locations

5010 Mayfield Rd
Ste 306
Lyndhurst, OH 44124
Phone (216) 591-6191

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.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1699534636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 S BELVOIR BLVD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183311",
            "telephone_number": "201-681-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 MAYFIELD RD STE 306",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242697",
            "telephone_number": "216-591-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2187 S Belvoir Blvd",
            "address_purpose": "LOCATION",
            "city": "University Heights",
            "state": "OH",
            "postal_code": "441183311",
            "country_code": "US",
            "telephone_number": "201-681-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAVSKY",
        "first_name": "MICHAL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.2309472",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2309472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.