Individual provider Active NPI

Maximino Cortes

  • Clinical Social Worker
  • Middleburg Heights, OH
National Provider Identifier
1598013617
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0008678-SUPV Issued in OH
Practice address
16600 W Sprague Rd Ste 245
Middleburg Heights, OH 44130-6319
Phone
(440) 523-0370
Fax
(877) 524-5670
NPI assigned
Aug 21, 2012
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 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 I.0008678-SUPV OH Primary

Addresses

Primary practice location

16600 W Sprague Rd Ste 245
Middleburg Heights, OH 44130-6319

Mailing address

202 E Bagley Rd
Berea, OH 44017-2058
Phone (800) 234-2006

Other practice location 1

202 E Bagley Rd
Berea, OH 44017-2058
Phone (800) 234-2006

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
I20160523000743 OH Practitioner - Clinical Social Worker 3870882392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabriel Group Counseling LLCGroup PAC ID 1759671589, 8 clinicians

Practice addresses (Care Compare)

16600 W Sprague Rd
Suite 245
Cleveland, OH 44130-6319
Phone (440) 523-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0008678-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriel Group Counseling, LLC CurrentSince Oct 1, 2025 Accepting new patients
Casting Hope Therapy Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Catholic Charities Corporation Current Accepting new patients
Genesis Brain Health PastSince Oct 1, 2025 Accepting new patients

Locations

1515 W 29th St
Cleveland, OH 44113
Phone (216) 574-9000

7911 Detroit Ave
Cleveland, OH 44102
Phone (216) 334-2876

16560 Commerce Ct
Middleburg Heights, OH 44130
Phone (440) 973-7015

16600 W Sprague Rd
Ste 245
Middleburg Heights, OH 44130
Phone (440) 523-0370

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1598013617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172058",
            "telephone_number": "800-234-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 245",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306319",
            "telephone_number": "440-523-0370",
            "fax_number": "877-524-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Bagley Rd",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440172058",
            "country_code": "US",
            "telephone_number": "800-234-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTES",
        "first_name": "MAXIMINO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0008678-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.