Individual provider Active NPI

Kristen M Cipriani Shores, LISW

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1740565647
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0700217 Issued in OH
Practice address
640 W Market St
Akron, OH 44303-1413
Phone
(330) 762-5425
Fax
(330) 777-4935
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 I0700217 OH Primary

Addresses

Primary practice location

640 W Market St
Akron, OH 44303-1413

Mailing address

640 W Market St
Akron, OH 44303-1413
Phone (330) 762-5425

Other practice location 1

20025 Lunn Rd
Strongsville, OH 44149-4925
Phone (216) 299-1978

Other names 1

  • Kristen Cipriani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130503000280 OH Practitioner - Clinical Social Worker 5193962462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0700217OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Solutions LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients

Locations

20025 Lunn Rd
Strongsville, OH 44149
Phone (216) 299-1978

Organizations & group practices 1

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": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1740565647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031413",
            "telephone_number": "330-762-5425",
            "fax_number": "330-777-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031413",
            "telephone_number": "330-762-5425",
            "fax_number": "330-777-4935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20025 Lunn Rd",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441494925",
            "country_code": "US",
            "telephone_number": "216-299-1978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIPRIANI SHORES",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0700217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CIPRIANI",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.