Individual provider Active NPI

William Vanek, LISW-S

  • Clinical Social Worker
  • North Ridgeville, OH
National Provider Identifier
1609197144
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0002803 Issued in OH
Practice address
6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone
(440) 327-1800
Fax
(440) 327-1533
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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.0002803 OH Primary

Addresses

Primary practice location

6401 Jaycox Rd
North Ridgeville, OH 44039-1611

Mailing address

6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone (440) 327-1800

Other practice location 1

5425 Detroit Rd Ste 6
Sheffield Village, OH 44054-3031
Phone (440) 327-1800

Other identifiers 1

IdentifierTypeStateIssuer
I.0002803OtherOHLISW-S

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
I20161101002649 OH Practitioner - Clinical Social Worker 8527182724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth a Deluca PHD and Associates IncGroup PAC ID 2860469160, 15 clinicians

Practice addresses (Care Compare)

5425 Detroit Rd
Suite 6
Sheffield Village, OH 44054-3031
Phone (440) 327-1800

6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone (440) 327-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0002803OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth a. de Luca,PH.D. & Associates, Inc. CurrentSince Sep 11, 2016 Accepting new patients

Locations

6401 Jaycox Rd
North Ridgeville, OH 44039
Phone (440) 452-1292

35888 Center Ridge Rd
Ste 5
North Ridgeville, OH 44039
Phone (440) 327-1810

5425 Detroit Rd
Ste 6
Sheffield Village, OH 44054

Organizations & group practices 1

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1609197144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391611",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391611",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 Detroit Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Sheffield Village",
            "state": "OH",
            "postal_code": "440543031",
            "country_code": "US",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANEK",
        "first_name": "WILLIAM",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0002803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW-S",
            "identifier": "I.0002803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.