Carlie Chapman Ali-Hassan, M.S.S.A., L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I 0031476 Issued in OH

Practice address

4255 Northfield Rd
Highland Hills, OH 44128-2811

Phone

(216) 292-9700

Fax

(216) 292-9721

NPI assigned

Jan 23, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Carlie Anne Chapman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Achievement Centers for Children

  • Clinical Social Worker
  • Highland Hills, OH
  • NPI 1841458791
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952455149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 AVALON RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203407",
            "telephone_number": "216-410-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 NORTHFIELD RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441282811",
            "telephone_number": "216-292-9700",
            "fax_number": "216-292-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI-HASSAN",
        "first_name": "CARLIE",
        "middle_name": "CHAPMAN",
        "name_prefix": "Ms.",
        "credential": "M.S.S.A., L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0031476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLIE",
            "last_name": "CHAPMAN",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Achievement Centers for Children
• Achievement Centers for Children
• Jenny J Adams, OTRL
• Stacey Aiton, LPC
• Cynthia E Antczak, LISW
• Margot L Anthonisen, OTRL
• Laura Artino
• Kieante L Austin
• Teresa Gay Baker, MSSA LISW

• Clinical Social Worker in Highland Hills, OH
• Providers in Highland Hills, 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 Jul 9, 2007; 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.