Individual provider Active NPI

Rachel S Berman, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1235145855
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I . 0002245 Issued in OH
Practice address
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone
(216) 281-0872
Fax
(216) 281-9565
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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 I . 0002245 OH Primary

Addresses

Primary practice location

3569 Ridge Rd
Cleveland, OH 44102-5443

Mailing address

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

Other identifiers 4

IdentifierTypeStateIssuer
2492968MedicaidOH
744279OtherOHCENPATICO
341300581045OtherOHCARESOURCE
N373122OtherOHWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20221208000088 MD Practitioner - Clinical Social Worker 2769434265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Empowerment Therapy Services of Maryland, LLCGroup PAC ID 0345644092, 19 clinicians

Practice addresses (Care Compare)

3655 A Old Court Rd
Baltimore, MD 21208-3959
Phone (410) 630-9064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I . 0002245OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Therapy Services of Maryland, LLC CurrentSince Aug 30, 2022 Accepting new patients

Locations

3655A Old Court Rd
Ste 123
Pikesville, MD 21208
Phone (410) 630-9064

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1235145855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "RACHEL",
        "middle_name": "S",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I . 0002245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2492968",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENPATICO",
            "identifier": "744279",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341300581045",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N373122",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.