NPIMap

Organization Active NPI

Womensafe, Inc.

  • Clinical Social Worker
  • Chardon, OH
National Provider Identifier
1881661718
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WOMENSAFE, INC.
Practice address
12041 Ravenna Road
Chardon, OH 44024
Phone
(440) 286-7154
Fax
(440) 285-8739
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Andrea R Gutka, M.ED., MCHESNPI 1437647005
Title
Executive Director
Phone
(440) 286-7154

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X OH Primary

Addresses

Primary practice location

12041 Ravenna Road
Chardon, OH 44024

Mailing address

12041 Ravenna Road
Chardon, OH 44024
Phone (440) 285-8742

National Provider Directory

National Provider Directory

Locations

12041 Ravenna Rd
Chardon, OH 44024
Phone (440) 286-7154

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/womensafe/r4/

Practitioners & affiliated clinicians

Practitioners 130

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 130

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1881661718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 RAVENNA ROAD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "44024",
            "telephone_number": "440-285-8742",
            "fax_number": "440-285-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 RAVENNA ROAD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "44024",
            "telephone_number": "440-286-7154",
            "fax_number": "440-285-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENSAFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "GUTKA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-286-7154",
        "authorized_official_credential": "M.ED., MCHES"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.