Active NPI
Susan Marie Ambrose, L.S.W.
- Social Worker
- Brecksville, OH
National Provider Identifier
1972735769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0600563
- Practice address
- 10000 Brecksville Rd
Brecksville, OH 44141-3204 - Phone
- (440) 526-3030
- NPI assigned
- Aug 13, 2009
- Last updated
- Aug 13, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0600563 | OH | Primary |
Addresses
Primary practice location
10000 Brecksville Rd
Brecksville, OH 44141-3204
Mailing address
10000 Brecksville Rd
Brecksville, OH 44141-3204
Phone (440) 526-3030
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 |
|---|---|---|---|
| S.0600563 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1972735769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 BRECKSVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413204",
"telephone_number": "440-526-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BRECKSVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413204",
"telephone_number": "440-526-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSE",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0600563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brecksville, OH
- Advanced Health and Wellness Center of Ohio LLC (Brecksville Physical Medicine)
- S Bilal Ahmed, MD
- Syed E Ahmed, MD
- Alicia G. Manenti,O.D.,Inc.
- Rebecca Allgeier, LISW
- Sarah Amick
- Andrea L Feleppelle DDS LLC (Brecksville Family Dentistry)
- Mallory Andrews, LISW
- Alicia Aplis, LMT
- Joseph Thomas Aquilina, M.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.