Individual provider Active NPI

Jamie Kathryn Woods, LISW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1871035931
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1200718 Issued in OH
Practice address
29525 Chagrin Blvd
Suite 308
Beachwood, OH 44122-4644
Phone
(216) 342-4735
Fax
(216) 342-4997
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I1200718 OH Primary

Addresses

Primary practice location

29525 Chagrin Blvd
Suite 308
Beachwood, OH 44122-4644

Mailing address

29525 Chagrin Blvd
Suite 308
Beachwood, OH 44122-4644
Phone (216) 342-4735

Other names 1

  • Jamie Kathryn Beals Former name

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
I1200718OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Associates, LTD PastSince Nov 17, 2016 Accepting new patients
Matthew Joseph Hilfer 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.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1871035931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CHAGRIN BLVD",
            "address_2": "SUITE 308",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224644",
            "telephone_number": "216-342-4735",
            "fax_number": "216-342-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CHAGRIN BLVD",
            "address_2": "SUITE 308",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224644",
            "telephone_number": "216-342-4735",
            "fax_number": "216-342-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JAMIE",
        "middle_name": "KATHRYN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1200718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BEALS",
            "middle_name": "KATHRYN",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 7, 2016; 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.