Active NPI
Annette L. Dimond, LISW
- Clinical Social Worker
- Rocky River, OH
National Provider Identifier
1750335295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-7369
- Practice address
- 20033 Detroit Rd
#201
Rocky River, OH 44116-2400 - Phone
- (216) 523-8850
- Fax
- (440) 356-6695
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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-7369 | OH | Primary |
Addresses
Primary practice location
20033 Detroit Rd
#201
Rocky River, OH 44116-2400
Mailing address
20033 Detroit Rd
#201
Rocky River, OH 44116-2400
Phone (216) 523-8850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-7369 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene a Benedetto | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Brecksville, OH
- NPI 1730131970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1750335295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20033 DETROIT RD",
"address_2": "#201",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441162400",
"telephone_number": "216-523-8850",
"fax_number": "440-356-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20033 DETROIT RD",
"address_2": "#201",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441162400",
"telephone_number": "216-523-8850",
"fax_number": "440-356-6695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMOND",
"first_name": "ANNETTE",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-7369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.