Paige F Rota, LISW-S, LCDC III

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304328-SUPV Issued in OH

Practice address

527 N Meridian Rd
Youngstown, OH 44509-1227

Phone

(330) 797-0070

Fax

(330) 797-9146

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Paige F Eckman Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Meridian Healthcare

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1528918703

  Corporate Officer

  CMS ownership
• Meridian Healthcare

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1700737277

  Corporate Officer

  CMS ownership
• Meridian Healthcare

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1841164365

  Corporate Officer

  CMS ownership

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.

• Meridian Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Youngstown, OH
  • NPI 1356307235

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Meridian Healthcare

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1841164365
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1619570967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Chalmers Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445111576",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTA",
        "first_name": "PAIGE",
        "middle_name": "F",
        "credential": "LISW-S, LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.162090",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304328-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "ECKMAN",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelyn L Ross
• Melanie Ross
• Ashley N Rossi, LISW-S
• Elena Marie Rossi, MD
• Tanya Lynn Rossi
• Judy B. Roth, LPCC, LICDC
• Larissa Ann Roth, CNP
• Melia Roth, MSNED, APRN, FNP-C
• Netta L. Roth, LPC
• Ralph Joel Rothenberg, M.D.

• Clinical Social Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.