Individual provider Active NPI

Rachel S Cain Jewell, LISW-S

  • Clinical Social Worker
  • Medina, OH
National Provider Identifier
1467652131
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4015 Medina Rd Ste 90
Medina, OH 44256-5970
Phone
(330) 331-5800
Fax
(330) 331-5805
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0024190 OH
Clinical Social Worker 1041C0700X I0024190 OH
Clinical Social Worker 1041C0700X OH Primary

Addresses

Primary practice location

4015 Medina Rd Ste 90
Medina, OH 44256-5970

Mailing address

28985 Fall River Dr
Westlake, OH 44145-5232
Phone (440) 477-8145

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
I20071015000316 OH Practitioner - Clinical Social Worker 3678669199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lamplight Counseling Services LLCGroup PAC ID 7113233750, 7 clinicians

Practice addresses (Care Compare)

4015 Medina Rd
Suite 90
Medina, OH 44256-5970
Phone 33033158005970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0024190OHMDClinical Social Worker
I0024190OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lamplight Counseling Services LLC Clinical CurrentSince Oct 27, 2022 Accepting new patients
Psycho Social Therapies,LTD PastSince Dec 10, 2023 Accepting new patients
Psycho Social Therapies,LTD Clinical PastSince Dec 10, 2023 Accepting new patients

Locations

4015 Medina Rd
Ste 90
Medina, OH 44256
Phone (330) 331-5800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1467652131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28985 FALL RIVER DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455232",
            "telephone_number": "440-477-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 MEDINA RD STE 90",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565970",
            "telephone_number": "330-331-5800",
            "fax_number": "330-331-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN JEWELL",
        "first_name": "RACHEL",
        "middle_name": "S",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0024190",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0024190",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.