Individual provider Active NPI

Renee Leber, LISW-S

  • Clinical Social Worker
  • Berlin Heights, OH
National Provider Identifier
1083963441
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1200037-SUPV Issued in OH
Practice address
66 Center St Ste a
Berlin Heights, OH 44814-9603
Phone
(419) 515-6865
Fax
(419) 938-1077
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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.1200037-SUPV OH Primary

Addresses

Primary practice location

66 Center St Ste a
Berlin Heights, OH 44814-9603

Mailing address

PO Box 145
Berlin Heights, OH 44814-0145
Phone (419) 515-6865

Other identifiers 2

IdentifierTypeStateIssuer
1124905641OtherOHGROUPNPI
2846675MedicaidOH

Other names 1

  • Renee Chaffee Former name

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
I20150728003992 OH Practitioner - Clinical Social Worker 9133433717 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1200037-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients
The Caring Collective LLC Clinical CurrentSince Oct 13, 2025 Accepting new patients
Mindfully, LLC CurrentSince Sep 1, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Abundant Life Counseling & Consulting Services, LLC Clinical Past Accepting new patients

Locations

66 Center St
Ste A
Berlin Heights, OH 44814
Phone (419) 515-6865

463 Ohio Pike
Ste 102B
Cincinnati, OH 45255
Phone (888) 262-3616

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PA 726 clinicians

Practice addresses (Care Compare)

Columbus, OH 43215
Phone (323) 205-7088

66 Ctr St
Suite a
Berlin Heights, OH 44814-9603
Phone (419) 515-6865

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1083963441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "BERLIN HEIGHTS",
            "state": "OH",
            "postal_code": "448140145",
            "telephone_number": "419-515-6865",
            "fax_number": "419-938-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CENTER ST STE A",
            "city": "BERLIN HEIGHTS",
            "state": "OH",
            "postal_code": "448149603",
            "telephone_number": "419-515-6865",
            "fax_number": "419-938-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBER",
        "first_name": "RENEE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200037-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUPNPI",
            "identifier": "1124905641",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "CHAFFEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berlin Heights, OH

Sources for this page

Verify at the official NPI Registry.