Individual provider Active NPI

Wendy Maayan

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1417464553
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700573 Issued in OH
Practice address
3659 Green Rd
Beachwood, OH 44122-5727
Phone
(216) 378-2794
Fax
(216) 504-0551
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1700573 OH Primary

Addresses

Primary practice location

3659 Green Rd
Beachwood, OH 44122-5727

Mailing address

3659 Green Rd
Beachwood, OH 44122-5727
Phone (216) 378-2794

Other identifiers 1

IdentifierTypeStateIssuer
I.1700573OtherOHLICENSED INDEPENDENT SOCIAL WORKER

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
I20180129000971 OH Practitioner - Clinical Social Worker 2264792902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

29125 Chagrin Blvd
Beachwood, OH 44122-4609
Phone (216) 292-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service Association CurrentSince Jan 10, 2018 Accepting new patients
Jewish Family Service Association CurrentSince Jan 10, 2018 Accepting new patients

Locations

29125 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 504-6476

3659 Green Rd
Ste 322
Beachwood, OH 44122
Phone (216) 202-5631

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1417464553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225727",
            "telephone_number": "216-378-2794",
            "fax_number": "216-504-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225727",
            "telephone_number": "216-378-2794",
            "fax_number": "216-504-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAYAN",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT SOCIAL WORKER",
            "identifier": "I.1700573",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.