Individual provider Active NPI

Robin Deemer, LISW, LICDC

  • Clinical Social Worker
  • Ashtabula, OH
National Provider Identifier
1548827116
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506800 Issued in OH
Practice address
4837 Main Ave
Ashtabula, OH 44004-6965
Phone
(440) 415-3253
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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.162370 OH
Clinical Social Worker 1041C0700X I.2506800 OH Primary

Addresses

Primary practice location

4837 Main Ave
Ashtabula, OH 44004-6965

Mailing address

4837 Main Ave
Ashtabula, OH 44004-6965
Phone (440) 969-3039

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
I20250716002070 OH Practitioner - Clinical Social Worker 2860907060 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162370OHMDAddiction (Substance Use Disorder) Counselor
I.2506800OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breaking Chains Recovery Services LLC Addiction (Substance Use Disorder) CurrentSince May 1, 2025 Accepting new patients
Breaking Chains Recovery Services LLC CurrentSince Apr 20, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 26, 2025 Accepting new patients
Brightview, LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4837 Main Ave
Ashtabula, OH 44004
Phone (440) 415-3253

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1548827116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 MAIN AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046965",
            "telephone_number": "440-969-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 MAIN AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046965",
            "telephone_number": "440-415-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEMER",
        "first_name": "ROBIN",
        "credential": "LISW, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162370",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.