Active NPI
Susan Gahr, L.I.S.W
- Clinical Social Worker
- Chardon, OH
National Provider Identifier
1659629574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1451280
- Practice address
- 12557 Ravenwood Dr
Chardon, OH 44024-9009 - Phone
- (440) 285-3568
- Fax
- (440) 285-4552
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0901497 | OH | |
| Clinical Social Worker | 1041C0700X | I.1451280 | OH | Primary |
Addresses
Primary practice location
12557 Ravenwood Dr
Chardon, OH 44024-9009
Mailing address
12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone (440) 285-3568
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone (440) 285-3568
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.68 of 100
- Quality
- 90.83
- Improvement activities
- 40
- Cost
- 72.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0901497 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravenwood Mental Health Center | Current | Accepting new patients | |
| Ravenwood Mental Health Center | Current | Accepting new patients | |
| Ravenwood Mental Health Center | Current | Accepting new patients |
Locations
12557 Ravenwood Dr
Concord Twp, OH 44024
Phone (440) 990-6104
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/ravenwoodhealth/r4/
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Chardon, OH
- NPI 1730356296
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chardon, OH
- NPI 1053345975
-
- Addiction (Substance Use Disorder) Counselor
- Chardon, OH
- NPI 1912265794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1659629574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12557 RAVENWOOD DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249009",
"telephone_number": "440-285-3568",
"fax_number": "440-285-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12557 RAVENWOOD DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249009",
"telephone_number": "440-285-3568",
"fax_number": "440-285-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAHR",
"first_name": "SUSAN",
"credential": "L.I.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0901497",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1451280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.