=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164377107
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WELLNESS CLEVELAND, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1792 E 40TH ST STE 101
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44103-3502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-236-8755
-----------------------------------------------------
Fax | 740-425-2927
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1792 E 40TH ST STE 101
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44103-3502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-236-8755
-----------------------------------------------------
Fax | 740-425-2927
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PATRICIA RYAN NAPOLITANO
-----------------------------------------------------
Credential | MSW, LISW-S
-----------------------------------------------------
Telephone | 216-326-8131
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------