Lisa Schaefer, LSW, LICDC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S1904210 Issued in OH

Practice address

611 W Market St
Akron, OH 44303-1406

Phone

(330) 996-4600

Fax

(330) 643-0767

NPI assigned

Aug 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment Care Compare group NPD
• Pastoral Counseling Service of Summit Co Inc

  • Community/Behavioral Health Agency
  • Akron, OH
  • NPI 1073925624
  NPD
• Pastoral Counseling Service of Summit County

  • Community/Behavioral Health Agency
  • Akron, OH
  • NPI 1790819852
  NPD (past)

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1396111605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031406",
            "telephone_number": "330-996-4600",
            "fax_number": "330-643-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031406",
            "telephone_number": "330-996-4600",
            "fax_number": "330-643-0767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Avon Belden Rd",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "OH",
            "postal_code": "440449802",
            "country_code": "US",
            "telephone_number": "419-618-7794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "LISA",
        "credential": "LSW, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "101075",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1904210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO CHEMICAL DEPENDENCY PROFESSIONAL BOARD",
            "identifier": "101075",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Paige Scears
• Allyson Schabel, CNP
• Blake Schach, MD
• Abigail Schad
• Kelsey Schaefer, DO
• Leann Schaeffer, PHD, RD, LD
• Taylor Alexandra Schaetzle, MD
• Heather Schalmo-Eggert
• James Schalmo, PA-C
• Bonnie Lynn Schanz, APRN.CNS

• Social Worker in Akron, OH
• Providers in Akron, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.