Individual provider Active NPI

Jonetha Aasimah Ali, LISW

  • Clinical Social Worker
  • Northfield, OH
National Provider Identifier
1467077305
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304499 Issued in OH
Practice address
9225 Lincoln Dr Apt F10
Northfield, OH 44067-1155
Phone
(216) 466-3675
NPI assigned
Jun 16, 2020
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.177018 OH
Clinical Social Worker 1041C0700X I.2304499 OH Primary

Addresses

Primary practice location

9225 Lincoln Dr Apt F10
Northfield, OH 44067-1155

Mailing address

9225 Lincoln Dr Apt F10
Northfield, OH 44067-1155
Phone (216) 466-3675

Other identifiers 1

IdentifierTypeStateIssuer
0408612MedicaidOH

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
I20230717002677 OH Practitioner - Clinical Social Worker 7214345446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.177018OHMDAddiction (Substance Use Disorder) Counselor
I.2304499OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Jun 3, 2023 Accepting new patients
Partners Physician Group CurrentSince Jun 3, 2023 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

4300 Allen Rd
Stow, OH 44224
Phone (330) 945-3150

Interoperability endpoints

  • Direct secure messaging: jonetha.ali.p1@direct.neon.nextgenshare.com

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1467077305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 LINCOLN DR APT F10",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671155",
            "telephone_number": "216-466-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 LINCOLN DR APT F10",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671155",
            "telephone_number": "216-466-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "JONETHA",
        "middle_name": "AASIMAH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.177018",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

Verify at the official NPI Registry.