Individual provider Active NPI

Loretta Geyer, L.I.S.W.

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1528095080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0008569 Issued in OH
Practice address
2490 Lee Blvd
#204
Cleveland, OH 44118-1269
Phone
(216) 321-3611
Fax
(216) 321-0021
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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-0008569 OH Primary

Addresses

Primary practice location

2490 Lee Blvd
#204
Cleveland, OH 44118-1269

Mailing address

23531 Farringdon Ave
Euclid, OH 44123-1538
Phone (216) 321-3611

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
I20040715000032 OH Practitioner - Clinical Social Worker 3779562665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0008569OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psycho Social Therapies,LTD CurrentSince Nov 11, 2008 Accepting new patients
Psycho Social Therapies,LTD Clinical CurrentSince Nov 11, 2008 Accepting new patients
Humanistic Counseling Center LLC PastSince Jul 1, 2023 Accepting new patients
Planned Lifetime Assistance Network of Northeast Ohio, Inc. Past Accepting new patients

Locations

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

3 Gateway
Euclid, OH 44119
Phone (216) 481-4949

1919 Bishop Rd
Wickliffe, OH 44092
Phone (440) 944-9400

Organizations & group practices 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528095080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23531 FARRINGDON AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231538",
            "telephone_number": "216-321-3611",
            "fax_number": "216-321-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD",
            "address_2": "#204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181269",
            "telephone_number": "216-321-3611",
            "fax_number": "216-321-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYER",
        "first_name": "LORETTA",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0008569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.