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

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, LISW

Title

Owner

Phone

(440) 248-0136

Specialties & licenses 1

Addresses

Locations

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.