Active NPI
Anthony Marra, LISW
- Clinical Social Worker
- Beachwood, OH
National Provider Identifier
1861644684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0600139
- Practice address
- 23210 Chagrin Blvd Ste 400
Beachwood, OH 44122-5429 - Phone
- (216) 831-6466
- NPI assigned
- Oct 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0600139 | OH | Primary |
Addresses
Primary practice location
23210 Chagrin Blvd Ste 400
Beachwood, OH 44122-5429
Mailing address
107 Laurel Rd
Chagrin Falls, OH 44022-3937
Phone (440) 804-6627
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chagrin Family Therapy Center, LLC | Clinical | Past | Accepting new patients |
| North East Ohio Health Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Chagrin Falls, OH
- NPI 1629248893
-
- Community/Behavioral Health Agency
- Beachwood, OH
- NPI 1770671562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1861644684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 LAUREL RD",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440223937",
"telephone_number": "440-804-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23210 CHAGRIN BLVD STE 400",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225429",
"telephone_number": "216-831-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRA",
"first_name": "ANTHONY",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0600139",
"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 Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.