Matt Chesebrough – Social Worker in Painesville, OH

Key facts

NPI: 1831702158
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
Practice address: 217 Linden Dr
Painesville, OH 44077-1946
Phone: (130) 441-9971
NPI assigned: Aug 26, 2020
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X			Yes

Addresses

Primary practice location

217 Linden Dr
Painesville, OH 44077-1946

Mailing address

217 Linden Dr
Painesville, OH 44077-1946
Phone (130) 441-9971

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 26, 2020.

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1831702158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LINDEN DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771946",
            "telephone_number": "130-441-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 LINDEN DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771946",
            "telephone_number": "130-441-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESEBROUGH",
        "first_name": "MATT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

All providers in Painesville, OH · Social Worker in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.