Individual provider Active NPI

Luisa Aviv, LISW

  • Social Worker
  • Beachwood, OH
National Provider Identifier
1821052036
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4913 Issued in OH
Practice address
24800 Highpoint Rd
Ste. B
Beachwood, OH 44122-6052
Phone
(216) 831-6611
Fax
(440) 944-7330
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4913 OH Primary

Addresses

Primary practice location

24800 Highpoint Rd
Ste. B
Beachwood, OH 44122-6052

Mailing address

24800 Highpoint Rd
Ste. B
Beachwood, OH 44122-6052
Phone (216) 831-6611

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

LicenseStateTypeSpecialty
4913OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Eden, MD & Associates, Inc. PastSince Mar 27, 2004 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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1821052036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24800 HIGHPOINT RD",
            "address_2": "STE. B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226052",
            "telephone_number": "216-831-6611",
            "fax_number": "440-944-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 HIGHPOINT RD",
            "address_2": "STE. B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226052",
            "telephone_number": "216-831-6611",
            "fax_number": "440-944-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIV",
        "first_name": "LUISA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "4913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.