CHRISTINA M CHARLILLO (NPI# 1922610815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922610815 |
| Entity Type | Individual |
| Full Name | CHRISTINA M CHARLILLO |
| Practice Address |
12557 Ravenwood Dr Chardon OH 44024-9009 |
| Mailing Address |
1511 Felton Rd South Euclid OH 44121-2722 |
| Practice Telephone | 4408233816 |
| Mailing Telephone | 4408233816 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| 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 |
12557 RAVENWOOD DR |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831176676 | Linda Folan | Social Worker | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2005-12-22 |
| 1720687213 | Lauren Marie Sell | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-10-26 |
| 1780283465 | Rachael Wilson | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-10-22 |
| 1427656347 | Rebecca Moore | Counselor | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-10-13 |
| 1518565423 | Hallie Ortiz | Counselor | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-10-13 |
| 1689284093 | Ian Michael Dewalt | Counselor | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-08-01 |
| 1134745672 | Briana Salgado | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-06-21 |
| 1689296642 | Samantha Louise Simpkins | Counselor | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-05-13 |
| 1760004741 | Rebecca Rayner | Counselor | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-05-12 |
| 1285256479 | Miki Gabrielle Epperson | Counselor | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| 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 |
|---|---|---|---|---|
| 1124501317 | Mikenna M Miller | Case Manager/Care Coordinator | 401 South St # 2a, Chardon, OH 44024-2805 | 2018-09-13 |
| 1720572738 | Tiffany Rae Barricklow | Case Manager/Care Coordinator | 12041 Ravenna Rd # 12041, Chardon, OH 44024-7008 | 2018-06-22 |
| 1831698984 | Nikolina Kajic | Case Manager/Care Coordinator | 12450 Merritt Rd, Chardon, OH 44024-9010 | 2018-02-05 |
| 1821472150 | Pamela Parker | Case Manager/Care Coordinator | 602 South St Ste D-1, Chardon, OH 44024-1499 | 2015-07-16 |
| 1720687213 | Lauren Marie Sell | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-10-26 |
| 1780283465 | Rachael Wilson | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-10-22 |
| 1124632088 | Susan Milde | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-09-08 |
| 1639783590 | Chris Tate | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-09-08 |
| 1730792391 | Caelin Mcmanis | Case Manager/Care Coordinator | 695 South St, Chardon, OH 44024-1474 | 2020-08-24 |
| 1790396729 | Cassandra N Kaleal | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-08-13 |
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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.