Nicole M Crone, LISW

Individual provider Active NPI Clinical Social Worker · Wellingtion, OH

NPI 1164903993 · NPPES record last updated Feb 3, 2025

Key facts

NPI
1164903993
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
508 Dickson St
Suite 2
Wellingtion, OH 44090
Phone
(440) 828-0012
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Pathways LLC (4 clinicians)

Practice addresses (Care Compare)

508 Dickson St
Suite 2
Wellington, OH 44090-1300
Phone (440) 828-0012

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250213002588 OH Practitioner - Clinical Social Worker 8820528235 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Trauma Healing Center Current
since Feb 2, 2025
Accepting new patients
Cornerstone Pathways, LLC Clinical Current
since Feb 3, 2025
Accepting new patients

Locations

508 Dickson St
Ste 2
Wellington, OH 44090
Phone (440) 647-2225

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

508 Dickson St
Suite 2
Wellingtion, OH 44090

Mailing address

909 Mount Auburn Dr
Ashland, OH 44805-4158
Phone (567) 215-6140

Other practice location 1

6140 S Broadway
Lorain, OH 44053
Phone (440) 233-7232

Sources for this page

Verify at the official NPI Registry.