Individual provider Active NPI

Valerie Treisch-Chirdon, LISW

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1730457755
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009206 Issued in OH
Practice address
20525 Center Ridge Rd
Suite 612
Rocky River, OH 44116-3437
Phone
(440) 327-1800
Fax
(440) 327-1533
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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-0009206 OH Primary

Addresses

Primary practice location

20525 Center Ridge Rd
Suite 612
Rocky River, OH 44116-3437

Mailing address

6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone (440) 327-1800

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
I20140205000438 OH Practitioner - Clinical Social Worker 8921237397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Care Associates LLCGroup PAC ID 9830415769, 7 clinicians

Practice addresses (Care Compare)

425 Niles Cortland Rd SE
Suite 201
Warren, OH 44484-2478
Phone (330) 856-3975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009206OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Care Associates, LLC CurrentSince Jan 3, 2023 Accepting new patients
Kenneth a. de Luca,PH.D. & Associates, Inc. CurrentSince Dec 14, 2013 Accepting new patients

Locations

6401 Jaycox Rd
North Ridgeville, OH 44039
Phone (440) 452-1292

35888 Center Ridge Rd
Ste 5
North Ridgeville, OH 44039
Phone (440) 327-1810

425 Niles Cortland Rd SE
Ste 201
Warren, OH 44484
Phone (330) 856-3795

26404 Center Ridge Rd
Bldg B
Westlake, OH 44145

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": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1730457755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391611",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "SUITE 612",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163437",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREISCH-CHIRDON",
        "first_name": "VALERIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.