Individual provider Active NPI

Melissa Pantel-Ku, LISW-S

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1134686702
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1801204 Issued in OH
Practice address
24800 Highpoint Rd
Beachwood, OH 44122-6052
Phone
(216) 342-5496
NPI assigned
Mar 1, 2019
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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.1801204 OH Primary

Addresses

Primary practice location

24800 Highpoint Rd
Beachwood, OH 44122-6052

Mailing address

17666 Stockton LN
Chagrin Falls, OH 44023-5741

Other practice location 1

19910 Malvern Rd Rm 201
Shaker Heights, OH 44122-2823
Phone (216) 929-0205 ext. 201

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
I20190403002013 OH Practitioner - Clinical Social Worker 4284975152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19910 Malvern Rd
Suite 201
Shaker Heights, OH 44122-2823
Phone 2169290205201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Partners for Behavioral Health and Wellness Inc CurrentSince Apr 1, 2019 Accepting new patients
Melissa Pantel-Ku Lisw-S LLC CurrentSince Mar 6, 2023 Accepting new patients

Locations

24800 Highpoint Rd
Beachwood, OH 44122
Phone (216) 342-5496

24800 Highpoint Rd
Ste A
Beachwood, OH 44122
Phone (216) 342-5496

19910 Malvern Rd
Rm 201
Shaker Heights, OH 44122
Phone 2169290205 ext. 201

19910 Malvern Rd
Ste 201
Shaker Heights, OH 44122
Phone (216) 929-0205

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1134686702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17666 STOCKTON LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 HIGHPOINT RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226052",
            "telephone_number": "216-342-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19910 Malvern Rd Rm 201",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441222823",
            "country_code": "US",
            "telephone_number": "216-929-0205 x201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTEL-KU",
        "first_name": "MELISSA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2023-04-21",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.