LATIFA DICKERSON BRADLEY (NPI# 1225654205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225654205 |
| Entity Type | Individual |
| Full Name | LATIFA DICKERSON BRADLEY |
| Practice Address |
25201 Chagrin Blvd Ste 390 Beachwood OH 44122-5637 |
| Practice Telephone | 2169109015 |
| Practice Fax Number | 2169109015 |
| Mailing Telephone | 2169109015 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | OH | Other Service Providers |
| Street Address |
25201 CHAGRIN BLVD STE 390 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316102510 | Jill C. Baird | Psychologist | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2008-07-28 |
| 1821696352 | Unity Wellness, LLC | Counselor | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-10-16 |
| 1669089033 | Danine P Harvell | Peer Specialist | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-09-29 |
| 1689288060 | Von E Harris | Counselor | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-09-03 |
| 1043824766 | Laurel Greene Kaiser LLC | Counselor | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-09-01 |
| 1407469232 | Michelle Marie Pfeil | Counselor | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-08-31 |
| 1356953541 | Maria Rosa Torres, LLC | Social Worker | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-08-19 |
| 1639781826 | Gabriela Sehinkman LLC | Social Worker | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-08-19 |
| 1033721535 | Ashley Michelle Gulley | Social Worker | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-08-18 |
| 1740892256 | Ahava Center for Health and Wellness | Social Worker | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597735 | Jacqueline Hardges | Peer Specialist | 2000 Alburn Dr, Beachwood, OH 44122 | 2020-10-29 |
| 1669089033 | Danine P Harvell | Peer Specialist | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-09-29 |
| 1144852757 | Khalil Jamaal Alim | Peer Specialist | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-02-11 |
| 1649813254 | Lawrence Gene Beavers Jr. | Peer Specialist | 3637 Green Rd Ste 3g, Beachwood, OH 44122-5717 | 2019-10-26 |
| 1982162400 | Kaitlyn Genesis Cross | Peer Specialist | 3637 Green Rd Ste 3g, Beachwood, OH 44122-5717 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
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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.