Individual provider Active NPI

Barbara A Reitman, LISW

  • Clinical Social Worker
  • North Olmsted, OH
National Provider Identifier
1104171032
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 1101251 Issued in OH
Practice address
26777 Lorain Road
#308
North Olmsted, OH 44070-3225
Phone
(440) 716-2222
Fax
(440) 716-1954
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I 1101251 OH
Clinical Social Worker 1041C0700X I 1101251 OH Primary

Addresses

Primary practice location

26777 Lorain Road
#308
North Olmsted, OH 44070-3225

Mailing address

353 Brockton Cir
Berea, OH 44017-2201
Phone (440) 234-8351

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
I20140320001189 OH Practitioner - Clinical Social Worker 3870724610 Practice locations: Berea, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

353 Brockton Cir
Berea, OH 44017-2201
Phone (440) 716-2222

PO Box
Suite 596
Berea, OH 44017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 1101251OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1104171032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BROCKTON CIR",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172201",
            "telephone_number": "440-234-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN ROAD",
            "address_2": "#308",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703225",
            "telephone_number": "440-716-2222",
            "fax_number": "440-716-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITMAN",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I 1101251",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1101251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.