Elizabeth Bach Van Valkenburgh Clinical Consulting Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0007862 Issued in OH

Legal business name

ELIZABETH BACH VAN VALKENBURGH CLINICAL CONSULTING GROUP

Practice address

6200 Som Center Rd
Suite D-20
Solon, OH 44139-2944

Phone

(440) 248-0136

Fax

(440) 248-0191

NPI assigned

Mar 3, 2009

Last updated

Mar 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Bach-Van Valkenburgh, LISWNPI 1184808560

Title

Owner

Phone

(440) 248-0136

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth M Bach-Van Valkenburgh, MSSA, LISW

  • Clinical Social Worker
  • Solon, OH
  • NPI 1184808560
  Authorized official Same address or phone

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1700026705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD",
            "address_2": "SUITE D-20",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392944",
            "telephone_number": "440-248-0136",
            "fax_number": "440-248-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD",
            "address_2": "SUITE D-20",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392944",
            "telephone_number": "440-248-0136",
            "fax_number": "440-248-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH BACH VAN VALKENBURGH CLINICAL CONSULTING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "BACH-VAN VALKENBURGH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-248-0136",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0007862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Solon, OH
• Providers in Solon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.