Individual provider Active NPI

Laura Stevenson, LISW

  • Clinical Social Worker
  • Grafton, OH
National Provider Identifier
1124486014
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1440263 Issued in OH
Practice address
2075 Avon Belden Rd
Grafton, OH 44044-9805
Phone
(440) 365-3853
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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.1440263 OH Primary

Addresses

Primary practice location

2075 Avon Belden Rd
Grafton, OH 44044-9805

Mailing address

2075 Avon Belden Rd
Grafton, OH 44044-9805
Phone (440) 365-3853

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
I20170417002141 OH Practitioner - Clinical Social Worker 5991081457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lorain County Health and DentistryGroup PAC ID 9234047853, 22 clinicians

Practice addresses (Care Compare)

1205 Broadway
Lorain, OH 44052-3409
Phone (440) 240-1655

1205 Broadway Ave
Lorain, OH 44052-3409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1440263OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry Current Accepting new patients
Lorain County Health & Dentistry CurrentSince Oct 30, 2024 Accepting new patients
Lorain County Health & Dentistry CurrentSince Oct 30, 2024 Accepting new patients
Pathways Counseling and Growth Center PastSince Mar 23, 2017 Accepting new patients

Locations

105 Louden Ct
Elyria, OH 44035

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

1205 Broadway
Lorain, OH 44052

260 S Main St
Oberlin, OH 44074

Interoperability endpoints

  • Direct secure messaging: laura.stevenson.p11@direct.loraincountyhealth.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1124486014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 AVON BELDEN RD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449805",
            "telephone_number": "440-365-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 AVON BELDEN RD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449805",
            "telephone_number": "440-365-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1440263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, OH

Sources for this page

Verify at the official NPI Registry.