Individual provider Active NPI

Heidi Tolchinsky, LISW-S, LICDC

  • Clinical Social Worker
  • Highland Heights, OH
National Provider Identifier
1508368481
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901470-SUPV Issued in OH
Practice address
675 Alpha Dr Ste G
Highland Heights, OH 44143-2139
Phone
(216) 801-0723
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 LICDC.161909 OH
Clinical Social Worker 1041C0700X I.1901470-SUPV OH Primary

Addresses

Primary practice location

675 Alpha Dr Ste G
Highland Heights, OH 44143-2139

Mailing address

675 Alpha Dr Ste G
Highland Heights, OH 44143-2139
Phone (216) 801-0723

Other practice location 1

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone (216) 320-8459

Other identifiers 1

IdentifierTypeStateIssuer
0267610MedicaidOH

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
I20210112003304 OH Practitioner - Clinical Social Worker 6901219906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

675 Alpha Dr
Suite G
Highland Heights, OH 44143-2139
Phone (216) 801-0723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.161909OHMDAddiction (Substance Use Disorder) Counselor
I.1901470-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness-Counseling CurrentSince Feb 1, 2021 Accepting new patients
Heidi Tolchinsky Clinical CurrentSince Jun 15, 2023 Accepting new patients
Green Road Behavioral Health, Inc. CurrentSince Aug 3, 2021 Accepting new patients

Locations

23980 Chagrin Blvd
Ste 107
Beachwood, OH 44122
Phone (216) 795-5396

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

675 Alpha Dr
Ste G
Highland Hts, OH 44143
Phone (216) 347-8498

22001 Fairmount Blvd
University Hts, OH 44118
Phone (216) 320-6447

13940 Cedar Rd
University Hts, OH 44118
Phone (216) 213-6738

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1508368481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 ALPHA DR STE G",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441432139",
            "telephone_number": "216-801-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ALPHA DR STE G",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441432139",
            "telephone_number": "216-801-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22001 Fairmount Blvd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441184819",
            "country_code": "US",
            "telephone_number": "216-320-8459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLCHINSKY",
        "first_name": "HEIDI",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161909",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901470-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267610",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, OH

Sources for this page

Verify at the official NPI Registry.