NPIMap

Individual provider Active NPI

Cheryl Lynne Gerber, LISWS

  • Clinical Social Worker
  • Sandusky, OH
National Provider Identifier
1144542564
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I9606 Issued in OH
Practice address
1925 Hayes Ave
Sandusky, OH 44870-4737
Phone
(419) 557-5177
Fax
(419) 557-5179
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 I9606 OH Primary

Addresses

Primary practice location

1925 Hayes Ave
Sandusky, OH 44870-4737

Mailing address

1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177

Other identifiers 1

IdentifierTypeStateIssuer
I9606OtherOHTHE OHIO COUNSELOR AND SOCIAL WORKER BOARD, MARRIAGE AND FAMILY THERAPIST BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000064 OH Practitioner - Clinical Social Worker 2567413990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Lakeshore Health and WellnessGroup PAC ID 6103167333, 2 clinicians

Practice addresses (Care Compare)

5475 Liberty Ave
Vermilion, OH 44089-1383
Phone (440) 963-0402

Hospital & facility affiliations

  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I9606OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Health and Wellness CurrentSince Feb 13, 2019 Accepting new patients
Family Health Services of Erie County CurrentSince Oct 6, 2019 Accepting new patients
Family Health Services of Erie County CurrentSince Oct 6, 2019 Accepting new patients

Locations

1912 Hayes Ave
Ste 1E
Sandusky, OH 44870
Phone (419) 557-5541

1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-4800

5475 Liberty Ave
Vermilion, OH 44089
Phone (440) 963-0402

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1144542564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177",
            "fax_number": "419-557-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177",
            "fax_number": "419-557-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "CHERYL",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LISWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I9606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE OHIO COUNSELOR AND SOCIAL WORKER BOARD, MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "I9606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.