Individual provider Active NPI

Caren Nowak, L.I.S.W. LLC

  • Mental Health Counselor
  • Streetsboro, OH
National Provider Identifier
1336158419
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I 7540 Issued in OH
Practice address
7821 Diagonal Rd
Streetsboro, OH 44241-5970
Phone
(330) 842-7662
Fax
(330) 678-0499
NPI assigned
Aug 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I 7540 OH Primary

Addresses

Primary practice location

7821 Diagonal Rd
Streetsboro, OH 44241-5970

Mailing address

7821 Diagonal Rd
Streetsboro, OH 44241-5970
Phone (330) 842-7662

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
I20060413000487 OH Practitioner - Clinical Social Worker 1456360718 Reassigns benefits to 3 organizations
Practice locations: Streetsboro, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7821 Diagonal Rd
Streetsboro, OH 44241-5970
Phone (330) 842-7662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 7540OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health, Inc. Mental Health CurrentSince Jun 23, 2019 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Dec 10, 2023 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Signature Health Inc CurrentSince Jun 23, 2019 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Mar 31, 2022 Accepting new patients

Locations

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

24200 Chagrin Blvd
Beachwood, OH 44122

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38882 Mentor Ave
Willoughby, OH 44094

Organizations & group practices 5

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": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1336158419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7821 DIAGONAL RD",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415970",
            "telephone_number": "330-842-7662",
            "fax_number": "330-678-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 DIAGONAL RD",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415970",
            "telephone_number": "330-842-7662",
            "fax_number": "330-678-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "CAREN",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W. LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I 7540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.