Organization Active NPI

Anne Antonio & Associates Inc

  • Clinical Social Worker
  • Willoughby Hills, OH
National Provider Identifier
1710128780
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0006061 Issued in OH
Legal business name
ANNE ANTONIO & ASSOCIATES INC
Practice address
35000 Chardon Rd Ste 115
Willoughby Hills, OH 44094-9018
Phone
(440) 918-1806
NPI assigned
Mar 20, 2009
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Ms. Anne S Antonio, LISWNPI 1316978521
Title
President / Owner
Phone
(440) 918-1806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I0006061 OH Primary

Addresses

Primary practice location

35000 Chardon Rd Ste 115
Willoughby Hills, OH 44094-9018

Mailing address

35000 Chardon Rd Ste 115
Willoughby Hills, OH 44094-9018
Phone (440) 918-1806

Other names 1

  • Soltis & Associates, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000716 OH Part B Supplier - Clinic/Group Practice 4789734658 Receives reassigned benefits from 1 practitioner
Practice locations: Willoughby Hills, OH

National Provider Directory

National Provider Directory

Locations

4131 W Streetsboro Rd
#8
Richfield, OH 44286
Phone (216) 932-5770

35000 Chardon Rd
Ste 115
Willoughby Hills, OH 44094
Phone (440) 918-1806

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1710128780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35000 CHARDON RD STE 115",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949018",
            "telephone_number": "440-918-1806",
            "fax_number": "440-918-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 CHARDON RD STE 115",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949018",
            "telephone_number": "440-918-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ANTONIO & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "440-918-1806",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0006061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soltis & Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.