Individual provider Active NPI

Muneera Y Novak, LISW

  • Clinical Social Worker
  • Solon, OH
National Provider Identifier
1346713757
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304764 Issued in OH
Practice address
29201 Aurora Rd Ste 400
Solon, OH 44139-1846
Phone
(440) 567-5350
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 S.1803277 OH
Clinical Social Worker 1041C0700X I.2304764 OH Primary

Addresses

Primary practice location

29201 Aurora Rd Ste 400
Solon, OH 44139-1846

Mailing address

26470 Shoreview Ave
Euclid, OH 44132-1456

Other names 1

  • Muneera B Yates Former name

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
I20241211002849 OH Practitioner - Clinical Social Worker 2961938162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29201 Aurora Rd
Solon, OH 44139-1846
Phone (330) 469-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1803277OHMDSocial Worker
I.2304764OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health Center CurrentSince Sep 15, 2024 Accepting new patients
Thrive Behavioral Health Center Inc CurrentSince Sep 15, 2024 Accepting new patients

Locations

29201 Aurora Rd
Solon, OH 44139
Phone (216) 220-8774

29201 Aurora Rd
Ste 400
Solon, OH 44139
Phone (440) 567-5350

1101 E High St
Ste 200
Springfield, OH 45505

1101 E High St
Springfield, OH 45505
Phone (216) 220-8774

2925 Youngstown Rd SE
Warren, OH 44484
Phone (216) 220-8774

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1346713757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26470 SHOREVIEW AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 AURORA RD STE 400",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391846",
            "telephone_number": "440-567-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MUNEERA",
        "middle_name": "Y",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1803277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUNEERA",
            "last_name": "YATES",
            "middle_name": "B",
            "credential": "LSW, LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.