Individual provider Active NPI

Renee M. Capanna, LISW

  • Clinical Social Worker
  • Fairlawn, OH
National Provider Identifier
1639395049
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009700-SUPV Issued in OH
Practice address
70 N Miller Rd
Fairlawn, OH 44333-3702
Phone
(330) 867-0066
Fax
(330) 867-0056
NPI assigned
Apr 17, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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.0009700-SUPV OH Primary

Addresses

Primary practice location

70 N Miller Rd
Fairlawn, OH 44333-3702

Mailing address

1871 Redwood Ave
Akron, OH 44301-3224
Phone (330) 724-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071025000330 OH Practitioner - Clinical Social Worker 8224125000 Reassigns benefits to 2 organizations
I20250414000364 FL Practitioner - Clinical Social Worker 8224125000 Reassigns benefits to 1 organization
Practice locations: Tequesta, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 97100OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Psycho Social Therapies,LTD Clinical CurrentSince Mar 22, 2019 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Mar 22, 2019 Accepting new patients
Anil Parikh MD Inc Past Accepting new patients
Senior Psychological Services, Inc. PastSince Oct 1, 1998 Accepting new patients

Locations

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

Interoperability endpoints

  • Direct secure messaging: reneegrant@tdh.allscriptsdirect.net

Organizations & group practices 7

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1639395049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 REDWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443013224",
            "telephone_number": "330-724-1580",
            "fax_number": "330-867-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-867-0066",
            "fax_number": "330-867-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPANNA",
        "first_name": "RENEE",
        "middle_name": "M.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009700-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.