Individual provider Active NPI

Rebecca Laracuente, LISW

  • Clinical Social Worker
  • Parma, OH
National Provider Identifier
1184880080
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I10198 Issued in OH
Practice address
5700 Pearl Rd
Parma, OH 44129-2537
Phone
(440) 845-5023
NPI assigned
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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 I10198 OH Primary

Addresses

Primary practice location

5700 Pearl Rd
Parma, OH 44129-2537

Mailing address

370 Walnut Dr
Berea, OH 44017-1355
Phone (440) 891-1953

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
I20250522000569 OH Practitioner - Clinical Social Worker 0749709806 Practice locations: Cleveland, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1433 W 57TH St
Cleveland, OH 44102-3043
Phone (440) 970-0424

370 Walnut Dr
Berea, OH 44017-1355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I10198OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1184880080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 WALNUT DR",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171355",
            "telephone_number": "440-891-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 PEARL RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292537",
            "telephone_number": "440-845-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARACUENTE",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I10198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.