Debra Maureen Fader, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1000224 Issued in OH

Practice address

6575 Ashton LN
Solon, OH 44139-3213

Phone

(440) 668-8564

Fax

(877) 844-4869

NPI assigned

Dec 29, 2010

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wellbe Senior Medical Ohio LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Independence, OH
  • NPI 1497308456
  Medicare reassignment
• Berko Psychological Associates, Inc.

  • Family Nurse Practitioner
  • Solon, OH
  • NPI 1689712739
  NPD

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1740584143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391057",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441398057",
            "telephone_number": "440-668-8564",
            "fax_number": "877-844-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 ASHTON LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393213",
            "telephone_number": "440-668-8564",
            "fax_number": "877-844-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADER",
        "first_name": "DEBRA",
        "middle_name": "MAUREEN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Epstein, LDO
• Emily Estades, SLP
• Nicole Michelle Evans, LPN
• Excellent Care Connections LLC
• Norman Ernest Facter, DDS
• Faith Medical Associates, Inc.
• Family Care Centers of Ohio
• Family Medical Care Plus Inc
• Christopher Faulds, PT CERT MDT
• Tracy V Faulkner, PHARM.D.

• Clinical Social Worker in Solon, OH
• Providers in Solon, 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 Dec 29, 2010; 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.

Verify at the official NPI Registry.