Stephanie Braun, LSW
Individual provider Active NPI Social Worker · Cleveland, OH
NPI 1972998201 · NPPES record last updated Apr 2, 2015
Key facts
- NPI
- 1972998201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S1500081 (OH)
- Practice address
- 3518 W 25TH St
Cleveland, OH 44109-1951 - Phone
- (216) 741-2241
- NPI assigned
- Apr 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220617002595 | OH | Practitioner - Clinical Social Worker | 0840679064 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1500081 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Health, Inc. | Current | Accepting new patients | |
| Signature Health, Inc | Current |
Accepting new patients | |
| University Hospitals Medical Group Inc | Current |
Accepting new patients | |
| Signature Health Inc | Current |
Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100
7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855
38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333
38882 Mentor Ave
Willoughby, OH 44094
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1500081 | OH | Yes |
Addresses
Primary practice location
3518 W 25TH St
Cleveland, OH 44109-1951
Mailing address
3518 W 25TH St
Cleveland, OH 44109-1951
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.