Individual provider Active NPI

Minda Brown-Jaramillo, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1740495753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.9383 Issued in OH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000347079OtherOHANTHEM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819007704 NM Practitioner - Clinical Social Worker 9638361538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.9383OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of New Mexico, LLC Clinical CurrentSince Jul 24, 2023 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.

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

Verify at the official NPI Registry.