Individual provider Active NPI

Rebekah Hope Wiland, MSW, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1396252706
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1800974 Issued in OH
Practice address
1744 Payne Ave
Cleveland, OH 44114-2910
Phone
(216) 577-6513
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.150118 OH
Clinical Social Worker 1041C0700X I.1800974 OH Primary

Addresses

Primary practice location

1744 Payne Ave
Cleveland, OH 44114-2910

Mailing address

1903 Leisure LN
Stow, OH 44224-1893
Phone (330) 714-7555

Other practice location 1

10004 Saint Clair Ave
Cleveland, OH 44108-1987
Phone (216) 577-6513

Other practice location 2

7515 Euclid Ave
Cleveland, OH 44103-4875
Phone (216) 577-6513

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
I20201218001453 OH Practitioner - Clinical Social Worker 6800208646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1800974OHMDClinical Social Worker
S.150118OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services for Homeless Persons, Inc. CurrentSince Sep 17, 2020 Accepting new patients

Locations

1744 Payne Ave
Cleveland, OH 44114
Phone (216) 361-8640

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1396252706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 LEISURE LN",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241893",
            "telephone_number": "330-714-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 PAYNE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142910",
            "telephone_number": "216-577-6513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441081987",
            "country_code": "US",
            "telephone_number": "216-577-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7515 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441034875",
            "country_code": "US",
            "telephone_number": "216-577-6513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILAND",
        "first_name": "REBEKAH",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.150118",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.