Healthcare Provider Details
I. General information
NPI: 1467363788
Provider Name (Legal Business Name): ASCEND FAMILY CONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1454 BROOKWOOD DR
BROOKLYN OH
44144
US
IV. Provider business mailing address
4654 BROOKWOOD DR
BROOKLYN OH
44144-3216
US
V. Phone/Fax
- Phone: 216-343-4349
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DERRICK
HOWELL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: EDD, MBA
Phone: 312-545-7415