Desiree James, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I009000289 Issued in OH

Practice address

27801 Euclid Ave # 454
Omni Park Office Building
Euclid, OH 44132-3549

Phone

(216) 406-0175

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

Yes

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)

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.

• Family Guidance Center Inc

  • Community/Behavioral Health Agency
  • Euclid, OH
  • NPI 1306072350
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1831428887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 WADE PARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061819",
            "telephone_number": "216-406-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE # 454",
            "address_2": "OMNI PARK OFFICE BUILDING",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323549",
            "telephone_number": "216-406-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DESIREE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I009000289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Michelle Jackson, RN
• Renee Jacobellis
• Jakira Curry
• James M. Wensink DDS Inc.
• Chelsea James, LPN
• Jacqueline Renea James, RN
• Tamiko E James, RN
• Tawana James
• Zamira Jani, DDS
• Michelle January-Dews Willis

• Clinical Social Worker in Euclid, OH
• Providers in Euclid, 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 Feb 19, 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.

Verify at the official NPI Registry.