Lisa Demeter, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0007121 Issued in OH

Practice address

9220 Mentor Ave
Mentor, OH 44060-6412

Phone

(440) 639-3532

NPI assigned

Jul 29, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Pride of Northeast Ohio IncorporatedGroup PAC ID 9739458589, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/familyprideonline/r4/

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.

• Family Pride of Northeast Ohio Incorporated

  • Community/Behavioral Health Agency
  • Chardon, OH
  • NPI 1427013556

  Clinical

  Medicare reassignment Care Compare group NPD
• Humanistic Counseling Center LLC

  dba Humanistic Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lyndhurst, OH
  • NPI 1205829090
  Medicare reassignment NPD

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1164864351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8445 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602410",
            "telephone_number": "440-255-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606412",
            "telephone_number": "440-639-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETER",
        "first_name": "LISA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0007121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW",
            "identifier": "I-0007121",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily K Delimpo, PT
• Greg Delluomo, PHARMD
• Pamela L Delotelle, QMHS
• Jennifer Lynn Demarco
• Traci Demattia-Toth, LICDC
• Cassandra N Demeza, LSW
• Dental Group of Mentor
• Dental Group of Mentor, Jeffrey S. Rosenthal, DDS, Inc
• Dental Professionals Cleveland-Nouneh, Inc. (brightnow dental)
• Amy Deptowicz

• Clinical Social Worker in Mentor, OH
• Providers in Mentor, 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 Jul 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.