Individual provider Active NPI

Jessica N Acord, LSW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1679102073
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1904423 Issued in OH
Practice address
1228 Euclid Ave
Cleveland, OH 44115-1834
Phone
(216) 619-6194
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1904423 OH Primary

Addresses

Primary practice location

1228 Euclid Ave
Cleveland, OH 44115-1834

Mailing address

1228 Euclid Ave
Cleveland, OH 44115-1834
Phone (216) 619-6194

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
I20240606000478 OH Practitioner - Clinical Social Worker 0244772283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter Arian LLCGroup PAC ID 5193167112, 6 clinicians

Practice addresses (Care Compare)

3500 Lorain Ave
Suite 300
Cleveland, OH 44113-3726
Phone (216) 315-2609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1904423OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaitlyn Cassidy LLC CurrentSince May 1, 2024 Accepting new patients
Peter Arian LLC CurrentSince May 1, 2024 Accepting new patients

Locations

3500 Lorain Ave
Ste 300
Cleveland, OH 44113
Phone (216) 250-1607

Organizations & group practices 2

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1679102073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151834",
            "telephone_number": "216-619-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151834",
            "telephone_number": "216-619-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACORD",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1904423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.