Individual provider Active NPI

Nadine R. Costantini, LISW

  • Clinical Social Worker
  • Mentor, OH
National Provider Identifier
1194024265
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4307 Issued in OH
Practice address
7232 Justin Way
Mentor, OH 44060-4881
Phone
(440) 488-2855
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 4307 OH Primary

Addresses

Primary practice location

7232 Justin Way
Mentor, OH 44060-4881

Mailing address

7232 Justin Way Ste 301
Mentor, OH 44060-4881
Phone (440) 578-8200

Other practice location 1

3591 Reserve Commons Dr
Suite 301
Medina, OH 44256-5334
Phone (330) 764-7916

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
I20110405000705 OH Practitioner - Clinical Social Worker 2961686621 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4307OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services of California, PC Clinical CurrentSince Oct 1, 2017 Accepting new patients
Psycho Social Therapies,LTD Clinical CurrentSince Mar 15, 2015 Accepting new patients
Wellqor Psychological Services, PC Clinical CurrentSince Mar 1, 2018 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Mar 15, 2015 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 17, 2024 Accepting new patients
Antone F Feo, PHD & Associates Inc CurrentSince May 21, 2021 Accepting new patients
Pathways Counseling and Growth Center PastSince May 1, 2018 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

5232 Broadview Rd
Richfield, OH 44286
Phone (330) 623-6680

Organizations & group practices 8

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": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1194024265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 JUSTIN WAY STE 301",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604881",
            "telephone_number": "440-578-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 JUSTIN WAY",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604881",
            "telephone_number": "440-488-2855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3591 Reserve Commons Dr",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442565334",
            "country_code": "US",
            "telephone_number": "330-764-7916",
            "fax_number": "330-723-6399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANTINI",
        "first_name": "NADINE",
        "middle_name": "R.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "4307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.