Individual provider Active NPI

Michael Alan Rehm, LISW-S

  • Clinical Social Worker
  • Lancaster, OH
National Provider Identifier
1548295256
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0007516 Issued in OH
Practice address
131 N Ewing St
Suite B
Lancaster, OH 43130-3383
Phone
(740) 689-6700
Fax
(740) 689-6702
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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-0007516 OH Primary

Addresses

Primary practice location

131 N Ewing St
Suite B
Lancaster, OH 43130-3383

Mailing address

131 N Ewing St
Suite B
Lancaster, OH 43130-3383
Phone (740) 689-6700

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
I20090820000728 OH Practitioner - Clinical Social Worker 3678627957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Valley Counseling, LLCGroup PAC ID 0941216832, 4 clinicians

Practice addresses (Care Compare)

131 N Ewing St
Lancaster, OH 43130-3383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0007516OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling, LLC CurrentSince Aug 10, 2009 Accepting new patients
Granville Counseling Center LLC Clinical PastSince Aug 20, 2010 Accepting new patients

Locations

131 N Ewing St
Ste B
Lancaster, OH 43130
Phone (740) 689-6700

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1548295256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "SUITE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "SUITE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHM",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0007516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.