Individual provider Active NPI

Lareane Nuby, LISW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1770936809
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1600231 Issued in OH
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 480-3676
Fax
(330) 480-7979
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

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.1600231 OH Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3676

Other identifiers 1

IdentifierTypeStateIssuer
2169988MedicaidOH

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
I20170828002257 OH Practitioner - Clinical Social Worker 5597037465 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1600231OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Traditions Hospice of Highland Heights, LLC CurrentSince Nov 30, 2020 Accepting new patients
Traditions Hospice of Highland Heights, LLC CurrentSince Nov 30, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Family & Community Services, Inc CurrentSince Oct 23, 2018 Accepting new patients
Family & Community Services Inc CurrentSince Oct 23, 2018 Accepting new patients
Coleman Professional Services, Inc. Clinical CurrentSince Jan 16, 2018 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 20, 2021 Accepting new patients

Locations

1N131 County Farm Rd
Winfield, IL 60190
Phone (630) 682-3871

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

677 Alpha Dr
Ste H
Highland Hgts, OH 44143
Phone (440) 385-2736

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

150 E Market St
Warren, OH 44481
Phone (330) 394-6244

318 Mahoning Ave NW
Warren, OH 44483
Phone (330) 394-6342

552 N Park Ave
Warren, OH 44481
Phone (234) 243-3127

6840 Carothers Pkwy
Ste 550
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: lareanenuby@tdh.allscriptsdirect.net

Organizations & group practices 8

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770936809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3676",
            "fax_number": "330-480-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3676",
            "fax_number": "330-480-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUBY",
        "first_name": "LAREANE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2169988",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.