Active NPI
Charles Jay Eisinger, LPCC
- Clinical Social Worker
- Beachwood, OH
National Provider Identifier
1962519413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- E3632
- Practice address
- 23250 Chagrin Blvd
Ste 425 Commerce Park Five
Beachwood, OH 44122 - Phone
- (216) 464-4243
- Fax
- (216) 595-8210
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | E3632 | OH | Primary |
Addresses
Primary practice location
23250 Chagrin Blvd
Ste 425 Commerce Park Five
Beachwood, OH 44122
Mailing address
14170 Chillicothe Rd
Novelty, OH 44072
Phone (440) 338-4691
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3632 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellen F. Casper, PH.D. and Associates | 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.
-
- Psychologist
- Beachwood, OH
- NPI 1558469957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962519413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14170 CHILLICOTHE RD",
"city": "NOVELTY",
"state": "OH",
"postal_code": "44072",
"telephone_number": "440-338-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23250 CHAGRIN BLVD",
"address_2": "STE 425 COMMERCE PARK FIVE",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-464-4243",
"fax_number": "216-595-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISINGER",
"first_name": "CHARLES",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "E3632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
- Morgan Eicher
- Shirley Eiland-Jackson
- Barbara Devon Eisen Simon
- Marina A Eisenberg, M.D.
- Sheri Pam Eisengart, PH.D.
- Eking Counseling LLC (MEWCO Mental Healthcare)
- Clara El Haddad
- El-Hallak Rheumatology and Specialty Infusion Services LLC (CarePoint Infusion Center)
- Moussa El-Hallak, M.D.
- Jodi Eleff, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.