Individual provider Active NPI

Lauren Wahba, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1770214520
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2102834 Issued in OH
Practice address
1701 Mercy Health PL
Cincinnati, OH 45237-6147
Phone
(513) 853-8520
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904014501 VA
Clinical Social Worker 1041C0700X 2102834 OH Primary

Addresses

Primary practice location

1701 Mercy Health PL
Cincinnati, OH 45237-6147

Mailing address

1701 Mercy Health PL
Cincinnati, OH 45237-6147
Phone (513) 853-8520

Other names 1

  • Lauren Gould Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221006000789 OH Practitioner - Clinical Social Worker 1557747003 Reassigns benefits to 6 organizations
I20230906002496 KY Practitioner - Clinical Social Worker 1557747003 Reassigns benefits to 1 organization
I20240426003464 VA Practitioner - Clinical Social Worker 1557747003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians
Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-4147

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3655

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

1500 N 28TH St
Richmond, VA 23223-5332
Phone (804) 371-1675

1510 N 28TH St
Richmond, VA 23223-5311

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 947-3838

201 Old Bank Rd
Suite 103
Milford, OH 45150-2443
Phone (513) 624-2070

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8629

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 988-1009

40 Medical Park Blvd
Petersburg, VA 23805-9289

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

8220 Meadowbridge Rd
Suite 101
Mechanicsville, VA 23116-2336
Phone (804) 288-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2102834OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 4, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 4, 2022 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1770214520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147",
            "telephone_number": "513-853-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147",
            "telephone_number": "513-853-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHBA",
        "first_name": "LAUREN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "2102834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GOULD",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.