Individual provider Active NPI

Maxene N Zion, LISW

  • Clinical Social Worker
  • Willoughby, OH
National Provider Identifier
1083688907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0005123 Issued in OH
Practice address
34900 Chardon Rd
Suite #107
Willoughby, OH 44094-9161
Phone
(440) 951-5600
Fax
(440) 951-1293
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I-0005123 OH Primary

Addresses

Primary practice location

34900 Chardon Rd
Suite #107
Willoughby, OH 44094-9161

Mailing address

34900 Chardon Rd
Suite #107
Willoughby, OH 44094-9161
Phone (440) 951-5600

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
I20040512000868 OH Practitioner - Clinical Social Worker 9537159629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners for Behavioral Health and Wellness IncGroup PAC ID 6305088972, 22 clinicians

Practice addresses (Care Compare)

24800 Highpoint Rd a
Beachwood, OH 44122-6051
Phone (216) 342-5496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0005123OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners for Behavioral Health and Wellness Inc CurrentSince Jun 9, 2016 Accepting new patients
Diane Eden, MD & Associates, Inc. PastSince Mar 27, 2004 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical PastSince Mar 1, 2000 Accepting new patients

Locations

24800 Highpoint Rd
Beachwood, OH 44122
Phone (216) 342-5496

24800 Highpoint Rd
Ste A
Beachwood, OH 44122
Phone (216) 342-5496

Organizations & group practices 3

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083688907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34900 CHARDON RD",
            "address_2": "SUITE #107",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949161",
            "telephone_number": "440-951-5600",
            "fax_number": "440-951-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34900 CHARDON RD",
            "address_2": "SUITE #107",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949161",
            "telephone_number": "440-951-5600",
            "fax_number": "440-951-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZION",
        "first_name": "MAXENE",
        "middle_name": "N",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0005123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.