Individual provider Active NPI

Gabriela Sehinkman, MA, LISW-S

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1174894778
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1000134.SUPV Issued in OH
Practice address
2101 Richmond Rd Ste 1005
Beachwood, OH 44122-1390
Phone
(216) 410-2832
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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.1000134.SUPV OH Primary

Addresses

Primary practice location

2101 Richmond Rd Ste 1005
Beachwood, OH 44122-1390

Mailing address

3628 Palmerston Rd
Shaker Heights, OH 44122-5014
Phone (216) 410-2832

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
I20170724002260 OH Practitioner - Clinical Social Worker 0648540674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
I.1000134.SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriela Sehinkman LLC Clinical CurrentSince Sep 11, 2020 Accepting new patients

Locations

2101 Richmond Rd
Ste 1005
Beachwood, OH 44122
Phone (216) 209-7830

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1174894778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 PALMERSTON RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225014",
            "telephone_number": "216-410-2832",
            "fax_number": "216-651-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RICHMOND RD STE 1005",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221390",
            "telephone_number": "216-410-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHINKMAN",
        "first_name": "GABRIELA",
        "name_prefix": "Ms.",
        "credential": "MA, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000134.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.