Individual provider Active NPI

Roslyn Birger-Hershfield, LISW, MSW

  • Clinical Social Worker
  • Fairlawn, OH
National Provider Identifier
1780693549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0003664 Issued in OH
Practice address
3250 W Market St
Suite 210
Fairlawn, OH 44333-3336
Phone
(330) 864-5100
Fax
(330) 864-8230
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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-0003664 OH Primary

Addresses

Primary practice location

3250 W Market St
Suite 210
Fairlawn, OH 44333-3336

Mailing address

3250 W Market St
Suite 210
Fairlawn, OH 44333-3336
Phone (330) 864-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20101102001171 ME Practitioner - Clinical Social Worker 3971536558 Practice locations: York, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Aldis Lane
York, ME 03909
Phone (207) 361-4524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0003664OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Psychological Associates, LLC Clinical PastSince Apr 21, 2014 Accepting new patients
Janet Gobrogge CNP LLC Past Accepting new patients

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780693549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W MARKET ST",
            "address_2": "SUITE 210",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333336",
            "telephone_number": "330-864-5100",
            "fax_number": "330-864-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W MARKET ST",
            "address_2": "SUITE 210",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333336",
            "telephone_number": "330-864-5100",
            "fax_number": "330-864-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRGER-HERSHFIELD",
        "first_name": "ROSLYN",
        "credential": "LISW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0003664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.