Beth Theresa Defelice, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S00007354 Issued in OH

Practice address

5905 Brecksville Rd
Independence, OH 44131-1517

Phone

(216) 524-4673

Fax

(216) 524-3743

NPI assigned

Aug 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone of Hope Inc

  • Clinical Social Worker
  • Independence, OH
  • NPI 1962805648
  NPD
• Cornerstone of Hope

  • Community/Behavioral Health Agency
  • Independence, OH
  • NPI 1043537616
  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1720706351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 BRECKSVILLE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441311517",
            "telephone_number": "216-524-4673",
            "fax_number": "216-524-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 BRECKSVILLE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441311517",
            "telephone_number": "216-524-4673",
            "fax_number": "216-524-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "BETH",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S00007354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tevin Davis
• DBC3 Music Therapy LLC
• Robert Morales De la Cruz
• Jolaina M Deblock, LPC
• Susan Winterhalter Decker, PA-C
• Jennifer Lee Delost
• Angela M Demuesy, LPTA
• Lisa Dennis
• Camille Denson
• Karla Dey

• Clinical Social Worker in Independence, OH
• Providers in Independence, 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 Aug 19, 2022; 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.