Mickie Chaney

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801289 Issued in OH

Practice address

5 Severance Cir Ste 201
Cleveland HTS, OH 44118-1567

Phone

(216) 659-5406

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Uprise Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Cleveland HTS, OH
  • NPI 1043893662
  Medicare reassignment NPD Authorized official
• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  Medicare reassignment NPD
• The Metrohealth System

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1922508159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 5TH AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441123109",
            "telephone_number": "216-224-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR STE 201",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181567",
            "telephone_number": "216-659-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland Hts",
            "state": "OH",
            "postal_code": "441181268",
            "country_code": "US",
            "telephone_number": "216-600-5194 x0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "MICKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Burts
• C a S Health Investors, Inc.
• Tracy Alan Callahan, CDCA
• Caring Companions Care Center LLC
• Stephen Carter Jr.
• Michael Choe
• Jamilla Cleveland
• Emily Coffey-Noriega, MD
• Alice Ann Cofield, LPN
• Gloria Jean Coleman

• Clinical Social Worker in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.