Thomas Francis Gannon, L.I.S.W.S.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0002363 SUPV Issued in OH

Practice address

24100 Chagrin Blvd Ste 400
Beachwood, OH 44122-5545

Phone

(440) 831-1040

Fax

(440) 831-2667

NPI assigned

Mar 23, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Weinstein & Associates Inc.

  • Psychologist
  • Beachwood, OH
  • NPI 1942252101
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1790802932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 SCEIENCE PARK DRIVE. SUITE 200",
            "address_2": "LANDMARK CENTRE.",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-831-1040",
            "fax_number": "216-831-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD STE 400",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225545",
            "telephone_number": "440-831-1040",
            "fax_number": "440-831-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "credential": "L.I.S.W.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0002363 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zephaniah Galloway, CDCA
• Svetlana Galstaine
• Diane W. Galvin, PT
• Tyler A Ganelli, OTR
• Yamuna Ganesamurthy
• Alexandria Garcia
• Gretchen Kay Gardner, M.D.
• Dori K Garey
• Ashley R Garland
• Elizabeth L Garrett, LISW-S

• Clinical Social Worker in Beachwood, OH
• Providers in Beachwood, 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 Nov 9, 2016; 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.