Individual provider Active NPI

Adam T Bojko, MSW, LISW

  • Clinical Social Worker
  • Middleburg Heights, OH
National Provider Identifier
1932608379
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002238 Issued in OH
Practice address
7247 Big Creek Pkwy
Middleburg Heights, OH 44130-4816
Phone
(162) 898-8303
NPI assigned
Feb 11, 2018
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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 I.2002238 OH Primary

Addresses

Primary practice location

7247 Big Creek Pkwy
Middleburg Heights, OH 44130-4816

Mailing address

3500 Carnegie Ave
Cleveland, OH 44115-2641
Phone (440) 260-8300

Other practice location 1

7000 Paula Dr
Middleburg Heights, OH 44130-3561
Phone (162) 676-8400

Other identifiers 1

IdentifierTypeStateIssuer
0282456MedicaidOH

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
I20200728001397 OH Practitioner - Clinical Social Worker 0648694398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Jul 15, 2020 Accepting new patients
Ohioguidestone CurrentSince Jul 15, 2020 Accepting new patients
Ohioguidestone Current Accepting new patients

Locations

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

3500 Carnegie Ave
Cleveland, OH 44115
Phone (440) 260-8327

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1932608379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152641",
            "telephone_number": "440-260-8300",
            "fax_number": "440-234-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7247 BIG CREEK PKWY",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304816",
            "telephone_number": "162-898-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Paula Dr",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441303561",
            "country_code": "US",
            "telephone_number": "162-676-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOJKO",
        "first_name": "ADAM",
        "middle_name": "T",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-11",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282456",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.