Individual provider Active NPI

Elizabeth L Garrett, LISW-S

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1649587502
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0029681-SUPV Issued in OH
Practice address
25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637
Phone
(216) 220-3100
Fax
(216) 706-2632
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0029681 OH
Clinical Social Worker 1041C0700X I.0029681-SUPV OH Primary

Addresses

Primary practice location

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637

Mailing address

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637
Phone (216) 220-3100

Other practice location 1

3737 Lander Rd
Pepper Pike, OH 44124-5712
Phone (216) 831-2255 ext. 3134

Other identifiers 1

IdentifierTypeStateIssuer
0268768MedicaidOH

Other names 1

  • Elizabeth L Feroe 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
I20220506001973 OH Practitioner - Clinical Social Worker 6305083940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners for Behavioral Health and Wellness IncGroup PAC ID 6305088972, 22 clinicians

Practice addresses (Care Compare)

24800 Highpoint Rd a
Beachwood, OH 44122-6051
Phone (216) 342-5496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0029681OHMDClinical Social Worker
I.0029681-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners for Behavioral Health and Wellness Inc CurrentSince Apr 1, 2022 Accepting new patients

Locations

24800 Highpoint Rd
Beachwood, OH 44122
Phone (216) 342-5496

24800 Highpoint Rd
Ste A
Beachwood, OH 44122
Phone (216) 342-5496

Organizations & group practices 1

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1649587502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 390",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225637",
            "telephone_number": "216-220-3100",
            "fax_number": "216-706-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 390",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225637",
            "telephone_number": "216-220-3100",
            "fax_number": "216-706-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Lander Rd",
            "address_purpose": "LOCATION",
            "city": "Pepper Pike",
            "state": "OH",
            "postal_code": "441245712",
            "country_code": "US",
            "telephone_number": "216-831-2255 x3134",
            "fax_number": "216-378-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0029681",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0029681-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FEROE",
            "middle_name": "L",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.