Individual provider Active NPI

Regina Costantino, LSW

  • Social Worker
  • Amherst, OH
National Provider Identifier
1629624655
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0023647 Issued in OH
Practice address
45952 N Ridge Rd
Amherst, OH 44001-1751
Phone
(440) 773-3032
Fax
(440) 290-1218
NPI assigned
Aug 15, 2019
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0023647 OH Primary

Addresses

Primary practice location

45952 N Ridge Rd
Amherst, OH 44001-1751

Mailing address

434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006

Other practice location 1

2173 N Ridge Rd E Ste L
Lorain, OH 44055-3400
Phone (440) 260-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Wellness Psychological Services, LLC CurrentSince Jul 5, 2024 Accepting new patients
Comprehensive Behavioral Specialists LLC CurrentSince Jan 23, 2025 Accepting new patients
Ohioguidestone Past Accepting new patients

Locations

45952 N Ridge Rd
Amherst, OH 44001
Phone (440) 773-3032

30400 Detroit Rd
Ste 301
Westlake, OH 44145
Phone (440) 250-8868

Organizations & group practices 3

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1629624655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 EASTLAND RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171217",
            "telephone_number": "440-234-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45952 N RIDGE RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011751",
            "telephone_number": "440-773-3032",
            "fax_number": "440-290-1218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2173 N Ridge Rd E Ste L",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440553400",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANTINO",
        "first_name": "REGINA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0023647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

Verify at the official NPI Registry.