Organization Active NPI

Agnes Smith and Associates

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1891971024
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I3608 Issued in OH
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

Updated by the provider on Jan 17, 2008

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
AG9282031OtherOHMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.