Larraine Frick Stehlik, MSW,LISW,CCDCI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I . 0010058 Issued in OH

Practice address

202 E Bagley Rd
Berea, OH 44017-2058

Phone

(440) 260-8297

Fax

(440) 260-8331

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972637007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 RED OAK LN",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402615",
            "telephone_number": "440-871-7634",
            "fax_number": "440-260-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172058",
            "telephone_number": "440-260-8297",
            "fax_number": "440-260-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHLIK",
        "first_name": "LARRAINE",
        "middle_name": "FRICK",
        "name_prefix": "Mrs.",
        "credential": "MSW,LISW,CCDCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I . 0010058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selitha Sobota, RN
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• Deanna Christine Starks
• Meredith A Starks
• Tyecia Stevens, CNP
• Holly Aileen Disch Stoddard, MSSA, LISW
• Meredith Stout
• Janice Stralka, RN
• Laurie A Stuart, MD

• Clinical Social Worker in Berea, OH
• Providers in Berea, 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 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.

Verify at the official NPI Registry.