Individual provider Active NPI

Elida Marie Schiavone, LPCC, LISW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1093830234
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2980 Belmont Ave
Youngstown, OH 44505
Phone
(330) 759-2310
Fax
(330) 759-0018
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0004659 OH
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2980 Belmont Ave
Youngstown, OH 44505

Mailing address

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-2310

Other identifiers 3

IdentifierTypeStateIssuer
1396705349OtherOHNPI
1518098334OtherOHNPI
1932312543OtherOHNPI

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
I20040727000807 OH Practitioner - Clinical Social Worker 8426028689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Preferred Care Counseling LLCGroup PAC ID 7315261021, 8 clinicians
Associates in Psychiatry, Inc.Group PAC ID 0446433791, 5 clinicians
Southwoods Counseling LLCGroup PAC ID 1355476896, 6 clinicians

Practice addresses (Care Compare)

3292 Stones Throw Ave
Poland, OH 44514-4213
Phone (330) 757-3975

833 Boardman Canfield Rd
Youngstown, OH 44512-4236
Phone (330) 953-1964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004659OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwoods Counseling LLC CurrentSince Dec 1, 2015 Accepting new patients
Preferred Care Counseling LLC CurrentSince Jan 13, 2015 Accepting new patients
Psycare Inc Past Accepting new patients
Psycare, Inc. Past Accepting new patients

Locations

833 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 270-9011

833 Boardman Canfield Rd
Ste 105
Youngstown, OH 44512
Phone (330) 758-9751

3292 Stones Throw Ave
Youngstown, OH 44514
Phone (330) 707-0771

Organizations & group practices 5

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1093830234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44505",
            "telephone_number": "330-759-2310",
            "fax_number": "330-759-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44505",
            "telephone_number": "330-759-2310",
            "fax_number": "330-759-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIAVONE",
        "first_name": "ELIDA",
        "middle_name": "MARIE",
        "credential": "LPCC, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "0004659",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396705349",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518098334",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932312543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.