Active NPI
Susan Greenwald
- Clinical Social Worker
- Solon, OH
National Provider Identifier
1790221075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6575 Ashton LN
Solon, OH 44139 - Phone
- (440) 668-8564
- Fax
- (877) 844-4869
- NPI assigned
- Jan 11, 2017
- 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 | Primary |
Addresses
Primary practice location
6575 Ashton LN
Solon, OH 44139
Mailing address
24411 Wimbledon Rd
Beachwood, OH 44122-3222
Phone (216) 464-0164
Other practice location 1
23715 Mercantile Rd., 203A
Beachwood, OH 44122
Phone (216) 292-2880
Other practice location 2
23715 Mercantile Rd., 203A
Beachwood, OH 44122
Phone (216) 292-2880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2030068 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berko Psychological Associates, Inc. | Current | 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.
-
- Family Nurse Practitioner
- Solon, OH
- NPI 1689712739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1790221075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24411 WIMBLEDON RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441223222",
"telephone_number": "216-464-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6575 ASHTON LN",
"city": "SOLON",
"state": "OH",
"postal_code": "44139",
"telephone_number": "440-668-8564",
"fax_number": "877-844-4869"
}
],
"practiceLocations": [
{
"address_1": "23715 Mercantile Rd., 203A",
"address_purpose": "LOCATION",
"city": "Beachwood",
"state": "OH",
"postal_code": "44122",
"country_code": "US",
"telephone_number": "216-292-2880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23715 Mercantile Rd., 203A",
"address_purpose": "LOCATION",
"city": "Beachwood",
"state": "OH",
"postal_code": "44122",
"country_code": "US",
"telephone_number": "216-292-2880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENWALD",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2030068",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.