Individual provider Active NPI

Sarah L Lohman, LISW

  • Clinical Social Worker
  • Elyria, OH
National Provider Identifier
1184996761
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1500828 Issued in OH
Practice address
347 Midway Blvd
Suite 204
Elyria, OH 44035-9006
Phone
(440) 324-4980
Fax
(216) 378-3906
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.0029702 OH
Clinical Social Worker 1041C0700X I.1500828 OH Primary

Addresses

Primary practice location

347 Midway Blvd
Suite 204
Elyria, OH 44035-9006

Mailing address

3737 Lander Rd
Pepper Pike, OH 44124-5712
Phone (216) 831-2255

Other identifiers 1

IdentifierTypeStateIssuer
2871101MedicaidOH

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
I20181019001045 OH Practitioner - Clinical Social Worker 7517210669 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1500828OHMDClinical Social Worker
S.0029702OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fortaleza,LLC CurrentSince May 1, 2019 Accepting new patients
Recovery Services of Northwest Ohio, Inc CurrentSince Sep 28, 2018 Accepting new patients
Fortaleza,LLC PastSince May 1, 2019 Accepting new patients

Locations

200 Van Gundy Dr
Bryan, OH 43506
Phone (419) 636-0410

511 Perry St
Defiance, OH 43512
Phone (419) 782-4933

41641 N Ridge Rd
Ste B
Elyria, OH 44035
Phone (440) 324-3609

25212 US Route 20
Fayette, OH 43521
Phone (419) 237-3103

118 E Clinton St
Napoleon, OH 43545
Phone (419) 599-7040

560 W Linfoot St
Wauseon, OH 43567
Phone (419) 337-1973

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1184996761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 LANDER RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245712",
            "telephone_number": "216-831-2255",
            "fax_number": "216-378-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MIDWAY BLVD",
            "address_2": "SUITE 204",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440359006",
            "telephone_number": "440-324-4980",
            "fax_number": "216-378-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHMAN",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0029702",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.