Individual provider Active NPI

Chelsea Anne Schoonover, LISW, LCDC III

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1902273691
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1510169-TRNE Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-5925
Phone
(216) 644-4949
NPI assigned
Aug 28, 2015
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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 S.1510169-TRNE OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-5925

Mailing address

377 Beaumont Dr
Fairlawn, OH 44333-3207
Phone (440) 231-2156

Other practice location 1

30800 Chagrin Blvd
Cleveland, OH 44124-5925
Phone (216) 591-0324

Other identifiers 1

IdentifierTypeStateIssuer
2374229MedicaidOH

Other names 1

  • Mrs. Chelsea Anne Vilk 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
S.1510169-TRNEOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1902273691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 BEAUMONT DR",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333207",
            "telephone_number": "440-231-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441955925",
            "telephone_number": "216-644-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30800 Chagrin Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441245925",
            "country_code": "US",
            "telephone_number": "216-591-0324",
            "fax_number": "216-591-1243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "CHELSEA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LISW, LCDC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1510169-TRNE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "VILK",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "LISW, LCDC III",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 15, 2022; 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.