Renee E Supers, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0030839 Issued in OH

Practice address

22540 Lorain Rd
Fairview Park, OH 44126-2212

Phone

(440) 734-4037

NPI assigned

Jan 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Allied Behavioral Health Services, Incorporated

  • Psychologist
  • Fairview Park, OH
  • NPI 1902984248
  NPD
• Allied Behavioral Health Services, Incorporated

  • Community/Behavioral Health Agency
  • Fairview Park, OH
  • NPI 1942637491
  NPD (past)

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1104637628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CANTERBURY LN APT A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442564033",
            "telephone_number": "330-321-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22540 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262212",
            "telephone_number": "440-734-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPERS",
        "first_name": "RENEE",
        "middle_name": "E",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0030839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Luksenburg
• Grace Steiner, MSW
• Benjamin Steinman, OD
• Taylor Stergar
• Christine Stives, CCC-SLP
• Richard Szado, OTRL
• Cynthia Takaht, MA
• Target Corporation
• Alicia Tegtman, LSW
• Tenisha Glass

• Social Worker in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.