Active NPI
Scott Henry Greenwald, LISW/LCSW
- Clinical Social Worker
- Mentor on the Lake, OH
National Provider Identifier
1962853549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1500555
- Practice address
- 7351 Larkspur Dr
Mentor on the Lake, OH 44060-3125 - Phone
- (440) 290-7383
- Fax
- (440) 953-6129
- NPI assigned
- Jun 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | I.1500555 | OH | Primary |
Addresses
Primary practice location
7351 Larkspur Dr
Mentor on the Lake, OH 44060-3125
Mailing address
7351 Larkspur Dr
Mentor on the Lake, OH 44060-3125
Phone (440) 290-7383
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 |
|---|---|---|---|
| I.1500555 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466812800000",
"number": "1962853549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7351 LARKSPUR DR",
"city": "MENTOR ON THE LAKE",
"state": "OH",
"postal_code": "440603125",
"telephone_number": "440-290-7383",
"fax_number": "440-953-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7351 LARKSPUR DR",
"city": "MENTOR ON THE LAKE",
"state": "OH",
"postal_code": "440603125",
"telephone_number": "440-290-7383",
"fax_number": "440-953-6129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWALD",
"first_name": "SCOTT",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "LISW/LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-25",
"last_updated": "2016-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1500555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor on the Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.