Individual provider Active NPI

Adelle Hartman, LSW

  • Clinical Social Worker
  • Westlake, OH
National Provider Identifier
1427442912
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203994-SUPV Issued in OH
Practice address
842 Corporate Way Ste 850
Westlake, OH 44145-1559
Phone
(440) 296-2050
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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.2203994-SUPV OH Primary

Addresses

Primary practice location

842 Corporate Way Ste 850
Westlake, OH 44145-1559

Mailing address

842 Corporate Way Ste 850
Westlake, OH 44145-1559
Phone (440) 296-2050

Other identifiers 1

IdentifierTypeStateIssuer
I.2203994-SUPVOtherOHLICENSED INDEPENDENT SOCIAL WORKER LICENSE

Other names 1

  • Adelle Polasky Professional 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
I20250107002648 OH Practitioner - Clinical Social Worker 5698203487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wagner and Associates Mental Health Services LLCGroup PAC ID 4082060710, 2 clinicians

Practice addresses (Care Compare)

842 Corporate Way
Suite 850
Westlake, OH 44145-1537
Phone (440) 296-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203994-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner and Associates Mental Health Services LLC CurrentSince Dec 10, 2024 Accepting new patients

Locations

842 Corporate Way
Ste 850
Westlake, OH 44145
Phone (440) 296-2050

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1427442912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 CORPORATE WAY STE 850",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451559",
            "telephone_number": "440-296-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 CORPORATE WAY STE 850",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451559",
            "telephone_number": "440-296-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ADELLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203994-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT SOCIAL WORKER LICENSE",
            "identifier": "I.2203994-SUPV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELLE",
            "last_name": "POLASKY",
            "credential": "LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.