Richard A Gage, LISW-S CDCA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L1200268S Issued in OH

Practice address

3364 Kolbe Rd
Suite 200
Lorain, OH 44053-1628

Phone

(440) 969-7960

Fax

(440) 960-7990

NPI assigned

Feb 12, 2016

Sex

Male

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

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

Medicare enrollment (NPD)

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.

• Circle Health Services

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1386609857
  Medicare reassignment NPD
• Circle Health Services

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1396552949
  NPD
• Circle Health Services

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1568978948
  NPD (past)

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1154780625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 KOLBE RD",
            "address_2": "SUITE 200",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531628",
            "telephone_number": "440-969-7960",
            "fax_number": "440-960-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 KOLBE RD",
            "address_2": "SUITE 200",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531628",
            "telephone_number": "440-969-7960",
            "fax_number": "440-960-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "LISW-S CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "L1200268S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Ann Frymier
• Dacia Fumich, CDCA
• Michael Steven Furci, FNP
• Michele Fuseck
• Bradley Gabriele
• Daniel Laurence Gainer, CDCA
• Lauren Emily Gallitto, LSW
• Wanda Galvan Rivera
• Srinivasan Ganesan, MD
• Dannie Gannon, L.P.C.C.

• Clinical Social Worker in Lorain, OH
• Providers in Lorain, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.