Active NPI
Lauren Olivia Rohal, LISW-S
- Clinical Social Worker
- Medina, OH
National Provider Identifier
1124490883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901918-SUPV
- Practice address
- 246 Northland Dr Ste 200a
Medina, OH 44256-3440 - Phone
- (330) 725-9195
- Fax
- (330) 725-9187
- NPI assigned
- Oct 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1510299-TRNE | OH | |
| Clinical Social Worker | 1041C0700X | I.1901918 | OH | |
| Clinical Social Worker | 1041C0700X | I.1901918-SUPV | OH | Primary |
Addresses
Primary practice location
246 Northland Dr Ste 200a
Medina, OH 44256-3440
Mailing address
246 Northland Dr Ste 200a
Medina, OH 44256-3440
Phone (330) 725-9195
Other practice location 1
18660 Bagley Rd Ste 404
Cleveland, OH 44130-3483
Phone (440) 234-8746
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I.1901918 | Other | OH | STATE LICENSE NUMBER |
| I.1901918-SUPV | Other | OH | SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1510299-TRNE | OH | MD | Social Worker |
| I.1901918 | OH | MD | Clinical Social Worker |
| I.1901918-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florence Kimbo M.D., LLC | Clinical | Current | Accepting new patients |
Locations
18660 Bagley Rd
Ste 404
Middleburg Heights, OH 44130
Phone (440) 234-8746
Organizations & group practices 1
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": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1124490883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 NORTHLAND DR STE 200A",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563440",
"telephone_number": "330-725-9195",
"fax_number": "330-725-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 NORTHLAND DR STE 200A",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563440",
"telephone_number": "330-725-9195",
"fax_number": "330-725-9187"
}
],
"practiceLocations": [
{
"address_1": "18660 Bagley Rd Ste 404",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441303483",
"country_code": "US",
"telephone_number": "440-234-8746",
"fax_number": "440-234-8748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROHAL",
"first_name": "LAUREN",
"middle_name": "OLIVIA",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1510299-TRNE",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901918",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901918-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "I.1901918",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER",
"identifier": "I.1901918-SUPV",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.