Individual provider Active NPI

Lisa R. Wren, LISW-S

  • Clinical Social Worker
  • Lima, OH
National Provider Identifier
1629304365
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0900143-SUPV Issued in OH
Practice address
1550 N Main St
Lima, OH 45801
Phone
(419) 516-0327
NPI assigned
Oct 31, 2009
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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.0900143-SUPV OH Primary

Addresses

Primary practice location

1550 N Main St
Lima, OH 45801

Mailing address

329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072

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
I20091125000454 OH Practitioner - Clinical Social Worker 9234278508 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Counseling and Consultation, LLCGroup PAC ID 3971880121, 16 clinicians

Practice addresses (Care Compare)

112 /2 N Main St
Celina, OH 45822-1729
Phone (419) 584-5123

401 E Market St
Celina, OH 45822-1736

835 N Locust St
Ottawa, OH 45875-1216
Phone (419) 523-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0900143OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling Center, Inc. Current Accepting new patients
Health Partners of Western Ohio CurrentSince Dec 13, 2021 Accepting new patients
Signature Health, Inc CurrentSince Feb 27, 2017 Accepting new patients
Pathways Counseling Center, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Signature Health Inc CurrentSince Feb 27, 2017 Accepting new patients
Health Partners of Western Ohio CurrentSince Dec 13, 2021 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients

Locations

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

1550 N Main St
Lima, OH 45801
Phone (419) 516-0327

329 N West St
Lima, OH 45801
Phone (419) 229-6007

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

835 N Locust St
Ottawa, OH 45875
Phone (419) 523-4300

38882 Mentor Ave
Willoughby, OH 44094

Organizations & group practices 9

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": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1629304365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45801",
            "telephone_number": "419-516-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "LISA",
        "middle_name": "R.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900143-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.