LAURA BERTHOLD (NPI# 1306328356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306328356 |
| Entity Type | Individual |
| Full Name | LAURA BERTHOLD |
| Credential | LSW |
| Practice Address |
120 East Ave Elyria OH 44035-5652 |
| Mailing Address |
2115 W Park Dr Lorain OH 44053-1138 |
| Practice Telephone | 4409894995 |
| Mailing Telephone | 4409894995 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | S.1903488 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2173 N Ridge Rd E Ste E&l, Lorain, OH 440553400 | 4402608300 |
| Street Address |
120 EAST AVE |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309960 | Laura Michele Gooch-brown | Social Worker | 815 Sherman St, Elyria, OH 44035-6052 | 2019-01-05 |
| 1891264719 | Sandra K Stewart | Social Worker | 1530 W River Rd N, Elyria, OH 44035-2791 | 2018-11-20 |
| 1477996874 | James West | Social Worker | 247 Brunswick Dr Apt A, Elyria, OH 44035-4696 | 2013-04-16 |
| 1902116486 | Lynette Jackson | Social Worker | 1530 W River Rd N Ste 300, Elyria, OH 44035 | 2010-10-18 |
| 1053521567 | Stephanie Nicole Mcwilliams | Social Worker | 415 Kenyon Ave, Elyria, OH 44035 | 2007-05-23 |
| 1588149413 | Latasha M. Washington | Social Worker | 347 Midway Blvd Ste 210, Elyria, OH 44035-2496 | 2018-09-26 |
| 1922588276 | Latasha Kennard | Social Worker | 253 Warden Ave, Elyria, OH 44035-2649 | 2018-08-16 |
| 1619460763 | Holly Hill | Social Worker | 1530 W River Rd N Ste 300, Elyria, OH 44035-2788 | 2018-06-13 |
| 1376032649 | Kristen Durell | Social Worker | 628 Poplar St, Elyria, OH 44035-4065 | 2018-05-02 |
| 1316453624 | Daniel Claude Colegrove | Social Worker | 312 3rd St, Elyria, OH 44035-5618 | 2017-12-21 |
| Find all providers in ELYRIA | ||||
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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.