Active NPI
Edith Anderson
- Clinical Social Worker
- Westlake, OH
National Provider Identifier
1215428149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2607994
- Practice address
- 29055 Clemens Rd Ste a
Westlake, OH 44145-1135 - Phone
- (216) 450-1613
- NPI assigned
- May 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.2607994 | OH | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
29055 Clemens Rd Ste a
Westlake, OH 44145-1135
Mailing address
PO Box 844020
Dallas, TX 75284-4020
Phone (216) 450-1613
Other practice location 1
1744 Payne Ave
Cleveland, OH 44114-2910
Phone (216) 623-6555
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29055 Clemens Rd
Suite a
Westlake, OH 44145-1135
Phone (216) 450-1613
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2607994 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Recovery Concepts LLC | Clinical | Current | Accepting new patients |
Locations
29055 Clemens Rd
#A
Westlake, OH 44145
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": "1527292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1215428149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844020",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844020",
"telephone_number": "216-450-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29055 CLEMENS RD STE A",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441451135",
"telephone_number": "216-450-1613"
}
],
"practiceLocations": [
{
"address_1": "1744 Payne Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441142910",
"country_code": "US",
"telephone_number": "216-623-6555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "EDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-26",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2607994",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.