Daphne Christine Ayers, LISW-S, LICDC-CS, GA
Individual provider Active NPI Clinical Social Worker · Medina, OH
NPI 1194242792 · NPPES record last updated Oct 18, 2024
Key facts
- NPI
- 1194242792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.2204124 (OH)
- Practice address
- 246 Northland Dr Ste 200a
Medina, OH 44256-3440 - Phone
- (330) 764-3659
- Fax
- (330) 764-8126
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alternative Paths Inc
Practice addresses (Care Compare)
246 Northland Dr
Suite 200a
Medina, OH 44256-3440
Phone (330) 725-9195
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615003082 | OH | Practitioner - Clinical Social Worker | 2466924055 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161376 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S1700154 | OH | MD | Social Worker |
| I.2204124 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community of Christ Church, Inc | Past | Accepting new patients | |
| Community of Christ Church, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 161376 | OH | |
| Social Worker | 104100000X | S1700154 | OH | |
| Peer Specialist | 175T00000X | OH | ||
| Clinical Social Worker | 1041C0700X | I.2204124 | OH | Yes |
Addresses
Primary practice location
246 Northland Dr Ste 200a
Medina, OH 44256-3440
Mailing address
246 Northland Dr Ste 200a
Medina, OH 44256-3440
Phone (330) 764-3659
Other practice location 1
834 Grant St
Akron, OH 44311-2136
Phone (330) 253-8803
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268032 | Medicaid | OH |
Other providers in Medina, OH
- Alfredo Reyes Austriaco
- Avenues of Counseling and Mediation
- Cori L Aviles
- Gabrielle Awad
- Axis Home Healthcare, Inc.
- B G L and Associates, Inc.
- Neneh Haby Ba
- Backbone of Health LLC
- Barbara M. Bacon
- Kaitlin Bagger
All providers in Medina, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.