Active NPI
Minda Brown-Jaramillo, LISW
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1740495753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.9383
- Practice address
- 2900 Detroit Ave
Cleveland, OH 44113-2710 - Phone
- (216) 431-4131
- Fax
- (216) 431-4133
- NPI assigned
- May 12, 2007
- 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.9383 | OH | Primary |
Addresses
Primary practice location
2900 Detroit Ave
Cleveland, OH 44113-2710
Mailing address
3950 Chester Ave
Cleveland, OH 44114-4625
Phone (216) 431-4131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000347079 | Other | OH | ANTHEM PIN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.9383 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of New Mexico, LLC | Clinical | Current | Accepting new patients |
| Recovery Resources | Past | Accepting new patients | |
| Recovery Resources | Past | Accepting new patients | |
| Attain BH Toledo LLC | Past | Accepting new patients | |
| Attain BH Beachwood LLC | Past | Accepting new patients |
Locations
206 S Coronado Ave
Espanola, NM 87532
Phone (833) 807-8727
Organizations & group practices 5
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Beachwood, OH
- NPI 1699479873
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1689378861
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1922186386
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1922418748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740495753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 CHESTER AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441144625",
"telephone_number": "216-431-4131",
"fax_number": "216-431-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441132710",
"telephone_number": "216-431-4131",
"fax_number": "216-431-4133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN-JARAMILLO",
"first_name": "MINDA",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.9383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN NUMBER",
"identifier": "000000347079",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.