MRS. MERVAT M KHAFAGA (NPI# 1013347137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013347137 |
| Entity Type | Individual |
| Full Name | MRS. MERVAT M KHAFAGA |
| Credential | LISW |
| Practice Address |
4115 Bridge Ave Cleveland OH 44113-3304 |
| Practice Telephone | 2166315800 |
| Practice Fax Number | 2166314595 |
| Mailing Telephone | 2166315800 |
| Mailing Fax Number | 2166314595 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1201292 | OH | Behavioral Health & Social Service Providers |
| Street Address |
4115 BRIDGE AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356642441 | Alison Theurer | Counselor | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2010-11-05 |
| 1003441999 | Darrylyn Chyress Lockhart | Counselor | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2020-03-11 |
| 1184194045 | Near West Side Multi Service Corporation | Case Management | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2018-12-04 |
| 1508396102 | Calandra Williams | Counselor | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2017-06-15 |
| 1245764018 | Lucy Linares | Case Manager/Care Coordinator | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2017-04-18 |
| 1154872257 | Douglas Vest | Social Worker | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2016-10-24 |
| 1366992455 | Peter Katsilis | Social Worker | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2016-10-12 |
| 1184960510 | Near West Side Multi Service Corporation | Case Management | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2012-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953509 | Carly Scigliano | Social Worker | 10701 East Blvd Fl 6, Cleveland, OH 44106-1782 | 2020-08-19 |
| 1154957231 | Taylor Kaylene Buss | Social Worker | 12012 Wade Park Ave, Cleveland, OH 44106-4437 | 2020-03-20 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1942848866 | Taylor-marie Smith | Social Worker | 2037 W 32nd St, Cleveland, OH 44113-4017 | 2019-12-11 |
| 1487204848 | Moshe Steinmetz | Social Worker | 3620 Bendemeer Rd, Cleveland, OH 44118-1917 | 2019-09-18 |
| 1235792706 | Pathway To Purpose Early Learning Center LLC | Social Worker | 1536 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2019-04-19 |
| 1992285209 | Kayla Whiteside | Social Worker | 311 East 45th Place, Suite 212, Cleveland, OH 44127 | 2018-08-16 |
| 1265944169 | Elizabeth Grace Chupa | Social Worker | 4785 Memphis Ave, Cleveland, OH 44144-1916 | 2017-11-01 |
| 1144742677 | Bruce Steven Jones | Social Worker | 3100 East 45th Place, 212, Cleveland, OH 44127 | 2017-07-17 |
| 1659893717 | Nurah Abdulwahab | Social Worker | 3100 E 45th Place, 212, Cleveland, OH 44127 | 2017-07-11 |
| Find all providers in CLEVELAND | ||||
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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.