BENNETTA KAY BRADFORD (NPI# 1003476987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003476987 |
| Entity Type | Individual |
| Full Name | BENNETTA KAY BRADFORD |
| Practice Address |
22001 Fairmount Blvd Shaker Hts OH 44118-4819 |
| Practice Telephone | 2169322800 |
| Mailing Telephone | 2169322800 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
22001 FAIRMOUNT BLVD |
| City | SHAKER HTS |
| State | OH |
| Zip Code | 44118-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800968 | Morris Ervin Jr. | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2020-08-04 |
| 1740826700 | Jessica Moritz | Social Worker | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2019-11-25 |
| 1366086928 | Kendall Orlandi | Social Worker | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2019-11-06 |
| 1154975621 | Samie Sasala | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2019-08-01 |
| 1164082095 | Kenae Tynille Hughes | Counselor | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4897 | 2019-06-13 |
| 1366009094 | Robin-maria Thomas | Social Worker | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2019-05-29 |
| 1205392198 | Stephen R Heidorf | Counselor | 22001 Fairmount Blvd, Shaker Hts, OH 44118 | 2019-02-15 |
| 1124596754 | George Boone | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2018-11-13 |
| 1316422108 | Allison E Schrader | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2018-09-27 |
| 1871070631 | Sydney Yvonne Kent | Counselor | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2018-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575297 | Jewel Phillips | Case Manager/Care Coordinator | 3535 Lee Rd, Shaker Hts, OH 44120-5122 | 2020-10-15 |
| 1699382366 | Lavado Townsend | Case Manager/Care Coordinator | 3535 Lee Rd, Shaker Hts, OH 44120-5122 | 2020-09-28 |
| 1841800968 | Morris Ervin Jr. | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2020-08-04 |
| 1467062729 | Shavaunte Taylor | Case Manager/Care Coordinator | 3535 Lee Rd, Shaker Hts, OH 44120-5122 | 2020-08-03 |
| 1306454194 | Terra Harper-swift | Case Manager/Care Coordinator | 3535 Lee Rd, Shaker Hts, OH 44120-5122 | 2020-07-17 |
| 1487285409 | Olena Taran | Case Manager/Care Coordinator | 20600 Chagrin Blvd Ste 620, Shaker Hts, OH 44122-5340 | 2020-01-29 |
| 1225678964 | Marina Markovich | Case Manager/Care Coordinator | 20600 Chagrin Blvd Ste 620, Shaker Hts, OH 44122-5340 | 2020-01-10 |
| 1154975621 | Samie Sasala | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2019-08-01 |
| 1235782384 | Elena Shlapakovsky | Case Manager/Care Coordinator | 20600 Chagrin Blvd Ste 620, Shaker Hts, OH 44122-5340 | 2019-07-18 |
| 1124596754 | George Boone | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Hts, OH 44118-4819 | 2018-11-13 |
| Find all providers in SHAKER HTS | ||||
| City | SHAKER HTS |
| Zip Code | 44118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.