Individual provider Active NPI

Joan E Mistur, LISW

  • Clinical Social Worker
  • Avon Lake, OH
National Provider Identifier
1013980465
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1797 Issued in OH
Practice address
32730 Walker Rd
#I-5
Avon Lake, OH 44012
Phone
(440) 933-8770
Fax
(440) 933-8991
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I1797 OH Primary

Addresses

Primary practice location

32730 Walker Rd
#I-5
Avon Lake, OH 44012

Mailing address

32730 Walker Rd
#I-5
Avon Lake, OH 44012
Phone (440) 933-8770

Other identifiers 1

IdentifierTypeStateIssuer
000000132154OtherOHANTHEM MAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000426 OH Practitioner - Clinical Social Worker 6901882018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27025 Bruce Rd
Bay Village, OH 44140-2212
Phone (440) 933-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1797OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Landings Family & Psychological Center, Inc. Clinical CurrentSince Dec 17, 2012 Accepting new patients
Tree of Life Counseling and Training Center, Inc. Past Accepting new patients

Locations

32730 Walker Rd
Ste I5
Avon Lake, OH 44012
Phone (440) 787-6311

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013980465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32730 WALKER RD",
            "address_2": "#I-5",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "44012",
            "telephone_number": "440-933-8770",
            "fax_number": "440-933-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32730 WALKER RD",
            "address_2": "#I-5",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "44012",
            "telephone_number": "440-933-8770",
            "fax_number": "440-933-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTUR",
        "first_name": "JOAN",
        "middle_name": "E",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MAGELLAN",
            "identifier": "000000132154",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

Verify at the official NPI Registry.