Active NPI
Agnes Smith and Associates
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1891971024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I3608
- Legal business name
- AGNES SMITH AND ASSOCIATES
- Practice address
- 20600 Chagrin Blvd
Suite 440
Cleveland, OH 44122-5327 - Phone
- (216) 921-4344
- Fax
- (216) 932-0818
- NPI assigned
- Jan 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Agnes M. Smith, L.I.S.W.
- Title
- Owner
- Phone
- (216) 921-4344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I3608 | OH | Primary |
Addresses
Primary practice location
20600 Chagrin Blvd
Suite 440
Cleveland, OH 44122-5327
Mailing address
20600 Chagrin Blvd
Suite 440
Cleveland, OH 44122-5327
Phone (216) 921-4344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG9282031 | Other | OH | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
20600 Chagrin Blvd
Ste 440
Shaker Heights, OH 44122
Phone (216) 381-1113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1891971024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20600 CHAGRIN BLVD",
"address_2": "SUITE 440",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441225327",
"telephone_number": "216-921-4344",
"fax_number": "216-932-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20600 CHAGRIN BLVD",
"address_2": "SUITE 440",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441225327",
"telephone_number": "216-921-4344",
"fax_number": "216-932-0818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGNES SMITH AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "AGNES",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-921-4344",
"authorized_official_credential": "L.I.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I3608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "AG9282031",
"state": "OH"
}
],
"endpoints": [],
"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 Jan 17, 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.