Individual provider Active NPI

Annette C Davlin, L.I.S.W

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1952329344
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0000848 Issued in OH
Practice address
13201 Granger Rd Ste 8
Cleveland, OH 44125-1979
Phone
(440) 286-1553
Fax
(440) 286-1318
NPI assigned
Jul 17, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 I0000848 OH Primary

Addresses

Primary practice location

13201 Granger Rd Ste 8
Cleveland, OH 44125-1979

Mailing address

3777 Glenwood Rd
Cleveland Heights, OH 44121-1605
Phone (216) 691-9440

Other identifiers 1

IdentifierTypeStateIssuer
I0000848OtherOHINDEPENDENT SOCIAL WORKER

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Pride Incorporated Past Accepting new patients

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, 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1952329344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 GLENWOOD RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441211605",
            "telephone_number": "216-691-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 GRANGER RD STE 8",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441251979",
            "telephone_number": "440-286-1553",
            "fax_number": "440-286-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVLIN",
        "first_name": "ANNETTE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0000848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT SOCIAL WORKER",
            "identifier": "I0000848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 3, 2024; 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.