Individual provider Active NPI

Rebecca Neimanis, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1679091409
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102619 Issued in OH
Practice address
22001 Fairmount Blvd
Cleveland, OH 44118
Phone
(216) 320-8255
NPI assigned
Aug 31, 2017
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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.2102619 OH Primary

Addresses

Primary practice location

22001 Fairmount Blvd
Cleveland, OH 44118

Mailing address

22001 Fairmount Blvd
Cleveland, OH 44118-4819

Other identifiers 1

IdentifierTypeStateIssuer
2847183MedicaidOH

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
I20210831003746 OH Practitioner - Clinical Social Worker 1951707843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Family Health and Dental Center, Inc Current Accepting new patients
Lifecare Family Health and Dental Center, Inc CurrentSince Sep 13, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 14, 2025 Accepting new patients
Neimanis Therapy Services LLC Clinical Current Accepting new patients
Lifecare Family Health and Dental Center, Inc CurrentSince Sep 13, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2725 Lincoln St E
Canton, OH 44707
Phone (330) 454-2000

408 9th St SW
Canton, OH 44707
Phone (330) 454-2000

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

820 Amherst Rd NE
Massillon, OH 44646
Phone (330) 454-2000

Organizations & group practices 5

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1679091409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441184819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-320-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMANIS",
        "first_name": "REBECCA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2847183",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.