Individual provider Active NPI

Christine Marie Couture, LISW-S

  • Clinical Social Worker
  • Lakewood, OH
National Provider Identifier
1689194946
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0008876 Issued in OH
Practice address
14805 Detroit Ave Ste 200
Lakewood, OH 44107-3921
Phone
(216) 431-4131
Fax
(216) 431-4151
NPI assigned
Jun 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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-0008876 OH Primary

Addresses

Primary practice location

14805 Detroit Ave Ste 200
Lakewood, OH 44107-3921

Mailing address

14805 Detroit Ave Ste 200
Lakewood, OH 44107-3921
Phone (216) 431-4131

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
I20170807000340 OH Practitioner - Clinical Social Worker 6800167065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Eldercare Services Institute,LLCGroup PAC ID 4789762840, 3 clinicians
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

11890 Fairhill Rd
Cleveland, OH 44120-1053
Phone (216) 791-8000

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0008876OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Feb 1, 2019 Accepting new patients
Eldercare Services Institute, LLC CurrentSince Oct 13, 2025 Accepting new patients
Eldercare Services Institute,LLC Clinical CurrentSince Oct 13, 2025 Accepting new patients
The Metrohealth System CurrentSince Feb 1, 2019 Accepting new patients

Locations

11890 Fairhill Rd
Cleveland, OH 44120
Phone (216) 791-8000

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3950 Chester Ave
Cleveland, OH 44114
Phone (216) 431-4131

4269 Pearl Rd
Cleveland, OH 44109
Phone (216) 431-4131

14805 Detroit Ave
Ste 200
Lakewood, OH 44107
Phone (216) 431-4131

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, 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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689194946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 200",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073921",
            "telephone_number": "216-431-4131",
            "fax_number": "216-431-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 200",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073921",
            "telephone_number": "216-431-4131",
            "fax_number": "216-431-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTURE",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0008876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.