Active NPI
Patricia Fahey, LISW-S
- Clinical Social Worker
- Euclid, OH
National Provider Identifier
1700335114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0007259
- Practice address
- 25540 Euclid Ave
Euclid, OH 44117-2612 - Phone
- (216) 732-3444
- Fax
- (216) 732-3455
- NPI assigned
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0007259 | OH | Primary |
Addresses
Primary practice location
25540 Euclid Ave
Euclid, OH 44117-2612
Mailing address
25540 Euclid Ave
Euclid, OH 44117-2612
Phone (216) 732-3444
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0007259 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1700335114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25540 EUCLID AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441172612",
"telephone_number": "216-732-3444",
"fax_number": "216-732-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25540 EUCLID AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441172612",
"telephone_number": "216-732-3444",
"fax_number": "216-732-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "PATRICIA",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0007259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
- Shavon Renee Evans
- Everside Health, LLC (Paladina Health Euclid Lincoln Electric)
- Everyday People Individual and Family Counseling Center
- Evolving Nurse (Home Healthcare Agency)
- Exceptional Hands LLC
- Rosetta Fair
- Artur Shawn Faison, CDCA, NCAC I
- Families Affair Homecare
- Family Guidance Center Inc
- Family Loving Care LLC (family loving care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.