Ellen M Severson, MSSA, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0009998 Issued in OH

Practice address

402 Sandhurst Dr
Highland Heights, OH 44143-3604

Phone

(216) 201-0339

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humanistic Counseling Center LLCGroup PAC ID 9335044619, 28 clinicians

Arbor Sana Counseling and Wellness IncGroup PAC ID 3577667518, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arbor Sana Counseling & Wellness Inc

  • Psychologist
  • Westlake, OH
  • NPI 1023039963
  Medicare reassignment Care Compare group
• Humanistic Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lyndhurst, OH
  • NPI 1205829090
  Medicare reassignment Care Compare group
• North Olmsted Family Counseling SVC LLC

  • Social Worker
  • North Olmstead, OH
  • NPI 1962557132
  NPD (past)
• Physician House Call Services LLC

  • General Practice Physician
  • Highland Heights, OH
  • NPI 1134362775
  NPD (past)
• Physician House Call Services LLC

  • General Practice Physician
  • Highland Heights, OH
  • NPI 1912207440
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1295883387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23725 WOLF RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402854",
            "telephone_number": "216-849-6165",
            "fax_number": "440-471-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SANDHURST DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433604",
            "telephone_number": "216-201-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "MSSA, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amolak Singh Sandhu, M.D.
• Saunders United LCC
• Kathryn Scarvelli
• Jeffrey Schreibman, RD, LD, MS, CSCS
• Mikaela Marie Schuster
• Sharon Rose-Rego, PH.D., LLC
• Katja Slatinsek
• Mary Kendall Smith, LISW
• Kristina Snyder
• Jennifer Jeanne Soros, MOT, OTR/L

• Clinical Social Worker in Highland Heights, OH
• Providers in Highland Heights, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.

Verify at the official NPI Registry.