Individual provider Active NPI

Lauren Anne Plott, LISW

  • Clinical Social Worker
  • Chardon, OH
National Provider Identifier
1083777502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0030005 Issued in OH
Practice address
13300 Aquilla Rd
Chardon, OH 44024-7944
Phone
(440) 279-2096
NPI assigned
Dec 18, 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-0030005 OH Primary

Addresses

Primary practice location

13300 Aquilla Rd
Chardon, OH 44024-7944

Mailing address

3559 Gridley Rd Apt 3
Shaker Heights, OH 44122-5046
Phone (216) 991-7350

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
I20070109000302 OH Practitioner - Clinical Social Worker 8022018407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Debalzo, Elgudin. Levine, Risen LLCGroup PAC ID 3072880715, 10 clinicians

Practice addresses (Care Compare)

23425 Commerce Park
Suite 104
Beachwood, OH 44122-5848
Phone (216) 831-2900

23425 Commerce Park Rd
Suite 104
Beachwood, OH 44122-5848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0030005OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners for Behavioral Health and Wellness Inc CurrentSince Jan 8, 2024 Accepting new patients
Debalzo Elgudin Levine Risen LLC Clinical CurrentSince Dec 3, 2024 Accepting new patients
Glovan Pollak and Associates LLC Clinical CurrentSince Jan 31, 2015 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

23425 Commerce Park
Ste 104
Beachwood, OH 44122
Phone (216) 831-2900

8224 Mentor Ave
Ste 208
Mentor, OH 44060
Phone (440) 392-2222

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083777502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 GRIDLEY RD APT 3",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225046",
            "telephone_number": "216-991-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 AQUILLA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247944",
            "telephone_number": "440-279-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTT",
        "first_name": "LAUREN",
        "middle_name": "ANNE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0030005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.