James Charles Slattery, LSW CDCA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S31088 Issued in OH

Practice address

405 Tallmadge Rd
Cuyahoga Falls, OH 44221-3362

Phone

(330) 907-3532

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1770661100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 PINEBROOK TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232587",
            "telephone_number": "330-945-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213362",
            "telephone_number": "330-907-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "JAMES",
        "middle_name": "CHARLES",
        "credential": "LSW CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S31088",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "071019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEVELAND CLINIC AKRON GENERAL REHABILITIATION HOSPITAL",
            "identifier": "1821184326",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Sivec, PTA 05582
• Gina Marie Skifstad
• Christina Skinner, MACCC/SLP
• Brandon Skory, PHARMD
• Kathryn Slates, LPC
• Timothy Slattery
• Sheila Rulander Slaughter, MT-BC
• Tammy Dene Slayman, NP
• Samantha Slider, ED. S.
• Shirley Marie Sloan-Oberdier, PH.D., LPC

• Social Worker in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.