Old River Associates LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OLD RIVER ASSOCIATES LLC

Practice address

19035 Old Detroit Rd Ste 201
Rocky River, OH 44116-1750

Phone

(440) 668-5496

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Michael J Nassif, LISW-SNPI 1811308067

Title

Tax Id Owner

Phone

(440) 668-5496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Nassif, LISW

  • Clinical Social Worker
  • Middleburg Heights, OH
  • NPI 1811308067
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth R Anthony, LSW

  • Social Worker
  • Rocky River, OH
  • NPI 1609499888
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1942785233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 OLD DETROIT RD STE 201",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161750",
            "telephone_number": "440-668-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19035 OLD DETROIT RD STE 201",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161750",
            "telephone_number": "440-668-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19035 Old Detroit Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rocky River",
            "state": "OH",
            "postal_code": "441161750",
            "country_code": "US",
            "telephone_number": "440-668-5496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLD RIVER ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "NASSIF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TAX ID OWNER",
        "authorized_official_telephone_number": "440-668-5496",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Nupp, M.A. CCC-SLP
• Laine O'Donnell
• Shea Elizabeth O'Flaherty
• Kristen Ogonek, DPT, AT
• Ohio CVS Stores LLC
• Khaled Oudeh
• Diana Kay Overberger, O.D.
• Aaliyah Owens, MFT
• Maria Owens, LISW
• Megan K Pacini, LPCC

• Clinical Social Worker in Rocky River, OH
• Providers in Rocky River, 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 Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.