Airielle Banaszak, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1000019.SUPV Issued in OH

Practice address

21245 Lorain Rd Ste 201
Fairview Park, OH 44126-2140

Phone

(216) 337-3189

NPI assigned

Dec 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Realize Your Path LLC

  • Clinical Social Worker
  • Fairview Park, OH
  • NPI 1750863288
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1780128959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21245 LORAIN RD STE 201",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262140",
            "telephone_number": "216-337-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21245 LORAIN RD STE 201",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262140",
            "telephone_number": "216-337-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANASZAK",
        "first_name": "AIRIELLE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000019.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternate Solutions Homecare 5, LLC
• Apex Counseling Partners, LLC
• Lynn M Aprile, DDS
• Ascent Chiropractic & Wellness L.L.C.
• Jo-Ann Badar, ATC
• Michael Allen Barnette
• Richard L Bartelme, RN
• James Richard Bayer, M.S. CCC-SLP
• Michelle H Beigi, PT
• Robert Carl Blankenburg, DDS

• Clinical Social Worker in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.