Individual provider Active NPI

Tanya C Inck-Folger, LISW-S

  • Clinical Social Worker
  • North Royalton, OH
National Provider Identifier
1487629093
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0007711 Issued in OH
Practice address
11680 Royalton Rd
North Royalton, OH 44133-4461
Phone
(440) 879-8806
Fax
(440) 878-9897
NPI assigned
Feb 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 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 I0007711 OH Primary

Addresses

Primary practice location

11680 Royalton Rd
North Royalton, OH 44133-4461

Mailing address

PO Box 361431
Strongsville, OH 44136-0055
Phone (440) 878-8806

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
I20091022000753 OH Practitioner - Clinical Social Worker 2163569120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11680 Royalton Rd
North Royalton, OH 44133-4461
Phone (440) 879-8806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0007711OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Revelation Counseling, LLC Clinical CurrentSince Jul 7, 2013 Accepting new patients
Eugene a Benedetto Mental Health Past Accepting new patients

Locations

11680 Royalton Rd
North Royalton, OH 44133
Phone (440) 879-8806

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": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1487629093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361431",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441360055",
            "telephone_number": "440-878-8806",
            "fax_number": "440-878-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 ROYALTON RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334461",
            "telephone_number": "440-879-8806",
            "fax_number": "440-878-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCK-FOLGER",
        "first_name": "TANYA",
        "middle_name": "C",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0007711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.