Individual provider Active NPI

Mary Jo Arabian, LISW

  • Clinical Social Worker
  • Lorain, OH
National Provider Identifier
1225579196
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.210615 Issued in OH
Practice address
6150 Park Square Dr Ste B
Lorain, OH 44053-4153
Phone
(440) 984-3882
NPI assigned
Mar 13, 2017
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1450693 OH
Clinical Social Worker 1041C0700X I.210615 OH Primary

Addresses

Primary practice location

6150 Park Square Dr Ste B
Lorain, OH 44053-4153

Mailing address

1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177

Other practice location 1

6140 S Broadway
Lorain, OH 44053-3821
Phone (440) 233-7232

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
I20210219002088 OH Practitioner - Clinical Social Worker 1254746407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth a Deluca PHD and Associates IncGroup PAC ID 2860469160, 15 clinicians

Practice addresses (Care Compare)

5425 Detroit Rd
Suite 6
Sheffield Village, OH 44054-3031
Phone (440) 327-1800

6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone (440) 327-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1450693OHMDSocial Worker
I.210615OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Firelands Regional Medical Center Current Accepting new patients
Kenneth a. de Luca,PH.D. & Associates, Inc. CurrentSince Mar 30, 2022 Accepting new patients

Locations

6401 Jaycox Rd
North Ridgeville, OH 44039
Phone (440) 452-1292

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1925 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-5177

5425 Detroit Rd
Ste 6
Sheffield Village, OH 44054

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1225579196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 PARK SQUARE DR STE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534153",
            "telephone_number": "440-984-3882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440533821",
            "country_code": "US",
            "telephone_number": "440-233-7232",
            "fax_number": "400-233-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARABIAN",
        "first_name": "MARY JO",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1450693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.210615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.