Individual provider Active NPI

Marsha Mitchell-Blanks

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1831727221
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0000103 Issued in OH
Practice address
2728 Euclid Ave Ste 400
Cleveland, OH 44115-2429
Phone
(216) 600-5194
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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 S.0000103 OH Primary

Addresses

Primary practice location

2728 Euclid Ave Ste 400
Cleveland, OH 44115-2429

Mailing address

3281 Tullamore Rd
Cleveland Heights, OH 44118-2979
Phone (216) 470-6157

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmitchellblanks@lifesolutionsouth.com Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.0000103OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Voyager Transport Service LLC PastSince Apr 5, 2020 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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1831727221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 TULLAMORE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182979",
            "telephone_number": "216-470-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 EUCLID AVE STE 400",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152429",
            "telephone_number": "216-600-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-BLANKS",
        "first_name": "MARSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0000103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmitchellblanks@lifesolutionsouth.com",
            "affiliation": "N",
            "endpointDescription": "headquarters",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cleveland",
            "address_1": "2728 Euclid Ave Ste 400",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441152429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.