Individual provider Active NPI

Brooke H Kroto, LISW

  • Social Worker
  • Richmond Heights, OH
National Provider Identifier
1922174390
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
250 Richmond Rd
Richmond Heights, OH 44143-1407
Phone
(216) 701-0371
Fax
(216) 261-1655
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Specialist 174400000X I7140 OH

Addresses

Primary practice location

250 Richmond Rd
Richmond Heights, OH 44143-1407

Mailing address

250 Richmond Rd
Richmond Heights, OH 44143-1407
Phone (216) 701-0371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000066 OH Practitioner - Clinical Social Worker 3870667769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Richmond Rd
Richmond Heights, OH 44143-1407
Phone (216) 701-0371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I7140OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbeing Unlimited, Inc. CurrentSince Apr 16, 2003 Accepting new patients

Locations

250 Richmond Rd
Richmond Hts, OH 44143
Phone (216) 261-7887

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1922174390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RICHMOND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431407",
            "telephone_number": "216-701-0371",
            "fax_number": "216-261-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RICHMOND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431407",
            "telephone_number": "216-701-0371",
            "fax_number": "216-261-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROTO",
        "first_name": "BROOKE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "I7140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

Verify at the official NPI Registry.