Individual provider Active NPI

Rachel Dollard, LISW

  • Clinical Social Worker
  • Parma, OH
National Provider Identifier
1619407343
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901813 Issued in OH
Practice address
6753 State Rd
Parma, OH 44134-4517
Phone
(440) 843-5629
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1601295 OH
Clinical Social Worker 1041C0700X I.1901813 OH Primary

Addresses

Primary practice location

6753 State Rd
Parma, OH 44134-4517

Mailing address

6753 State Rd
Parma, OH 44134-4517
Phone (440) 843-5544

Other names 1

  • Rachel Spetrino Former name

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
I20210426001810 OH Practitioner - Clinical Social Worker 8527476860 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1601295OHMDSocial Worker
I.1901813OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Corporation Current Accepting new patients
Cornerstone of Hope Inc Clinical CurrentSince Aug 8, 2023 Accepting new patients

Locations

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

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

5905 Brecksville Rd
Independence, OH 44131
Phone (216) 524-4673

6753 State Rd
Parma, OH 44134
Phone (440) 843-5544

253 N State St
Ste 200
Westerville, OH 43081
Phone (614) 824-4285

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1619407343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6753 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344517",
            "telephone_number": "440-843-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6753 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344517",
            "telephone_number": "440-843-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLARD",
        "first_name": "RACHEL",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1601295",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SPETRINO",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.