Individual provider Active NPI

Odiri Omobien, MSSA,LISW-S

  • Clinical Social Worker
  • Westlake, OH
National Provider Identifier
1427580059
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2103054 Issued in OH
Practice address
842 Corporate Way Ste 800
Westlake, OH 44145-1569
Phone
(440) 213-4530
NPI assigned
Apr 2, 2017
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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.2103054 OH Primary

Addresses

Primary practice location

842 Corporate Way Ste 800
Westlake, OH 44145-1569

Mailing address

3231 Evans Way
Twinsburg, OH 44087-3291
Phone (330) 815-2825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250811001196 OH Practitioner - Clinical Social Worker 1254839152 Reassigns benefits to 1 organization
I20250812002578 TX Practitioner - Clinical Social Worker 1254839152 Reassigns benefits to 1 organization
I20250818004681 NC Practitioner - Clinical Social Worker 1254839152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2103054OHMDClinical Social Worker
115662TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 1, 2025 Accepting new patients
Blueprint Therapy & Consulting LLC Clinical CurrentSince Nov 24, 2025 Accepting new patients
Beyond Behavioral Healthcare, LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/beyondhc/r4/

Organizations & group practices 3

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1427580059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 EVANS WAY",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440873291",
            "telephone_number": "330-815-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 CORPORATE WAY STE 800",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451569",
            "telephone_number": "440-213-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOBIEN",
        "first_name": "ODIRI",
        "credential": "MSSA,LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.