Individual provider Active NPI

Andrea Lisowski, LISW

  • Clinical Social Worker
  • Cuyahoga Falls, OH
National Provider Identifier
1649897323
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901848 Issued in OH
Practice address
2795 Front St Ste a
Cuyahoga Falls, OH 44221-1900
Phone
(330) 639-9444
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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.1901848 OH Primary

Addresses

Primary practice location

2795 Front St Ste a
Cuyahoga Falls, OH 44221-1900

Mailing address

2795 Front St Ste a
Cuyahoga Falls, OH 44221-1900
Phone (330) 639-9444

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
I20250708002468 OH Practitioner - Clinical Social Worker 2264946961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1901848OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peace River Consulting and Wellness, LLC Clinical Current Accepting new patients
Pathways of Peace Counseling and Consultation CurrentSince Jun 1, 2025 Accepting new patients
Pathways of Peace Counseling and Consultation CurrentSince Apr 27, 2025 Accepting new patients
Azalea Institute-Center for MFT & LPC Advancement, LLC Clinical Past Accepting new patients

Locations

911 Graham Rd
Ste 45
Cuyahoga Falls, OH 44221

4301 Darrow Rd
Ste 1450
Stow, OH 44224
Phone (330) 310-8194

Organizations & group practices 4

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1649897323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 FRONT ST STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211900",
            "telephone_number": "330-639-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 FRONT ST STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211900",
            "telephone_number": "330-639-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISOWSKI",
        "first_name": "ANDREA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.