Organization Active NPI

Julie Schoenlein Lisw-S LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rocky River, OH
National Provider Identifier
1871265314
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JULIE SCHOENLEIN LISW-S LLC
Practice address
20033 Detroit Rd Ste G
North Ridge Annex
Rocky River, OH 44116-2400
Phone
(330) 421-7814
NPI assigned
Oct 4, 2021
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Julie Schoenlein, LISWNPI 1790457232
Title
Owner
Phone
(330) 421-7814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

20033 Detroit Rd Ste G
North Ridge Annex
Rocky River, OH 44116-2400

Mailing address

20033 Detroit Rd Ste G
North Ridge Annex
Rocky River, OH 44116-2400
Phone (330) 421-7814

Other identifiers 1

IdentifierTypeStateIssuer
0464236MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220607001150 OH Part B Supplier - Clinic/Group Practice 5092193854 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky River, OH

National Provider Directory

National Provider Directory

Locations

20033 Detroit Rd
Ste G
Rocky River, OH 44116
Phone (216) 224-9230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1871265314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20033 DETROIT RD STE G",
            "address_2": "NORTH RIDGE ANNEX",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162400",
            "telephone_number": "330-421-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20033 DETROIT RD STE G",
            "address_2": "NORTH RIDGE ANNEX",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162400",
            "telephone_number": "330-421-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE SCHOENLEIN LISW-S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "SCHOENLEIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-421-7814",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464236",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.