Active NPI
Crystal Gerson
- Social Worker
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 7232 Justin Way
Mentor, OH 44060-4881 - Phone
- (440) 578-8200
- NPI assigned
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
7232 Justin Way
Mentor, OH 44060-4881
Mailing address
9220 Mentor Ave
Mentor, OH 44060-6412
Phone (440) 639-3581
Other practice location 1
9220 Mentor Ave
Mentor, OH 44060-6412
Phone (440) 639-3581
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Health, Inc. | Current | Accepting new patients | |
| Signature Health Inc | Current | Accepting new patients | |
| Signature Health, Inc | Current | Accepting new patients |
Locations
21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100
7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855
38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333
38882 Mentor Ave
Willoughby, OH 44094
Organizations & group practices 3
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.
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- NPI 1679767289
-
- Long Term Care Pharmacy
- Willoughby, OH
- NPI 1740502335
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Willoughby, OH
- NPI 1477575348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1780198556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606412",
"telephone_number": "440-639-3581",
"fax_number": "440-205-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7232 JUSTIN WAY",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604881",
"telephone_number": "440-578-8200"
}
],
"practiceLocations": [
{
"address_1": "9220 Mentor Ave",
"address_purpose": "LOCATION",
"city": "Mentor",
"state": "OH",
"postal_code": "440606412",
"country_code": "US",
"telephone_number": "440-639-3581",
"fax_number": "440-205-1009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERSON",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.