Individual provider Active NPI

Elizabeth Meathe McHugh, LSW

  • Clinical Social Worker
  • Twinsburg, OH
National Provider Identifier
1790176477
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1501440-S Issued in OH
Practice address
9810 Ravenna Road
Second Floor Room #1
Twinsburg, OH 44087
Phone
(440) 773-8802
Fax
(330) 331-2188
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X S.1302747 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 141084 OH
Mental Health Counselor 101YM0800X S.1302747 OH
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I.1501440-S OH Primary

Addresses

Primary practice location

9810 Ravenna Road
Second Floor Room #1
Twinsburg, OH 44087

Mailing address

9810 Ravenna Road
Second Floor, Room #1
Twinsburg, OH 44087
Phone (440) 773-8802

Other practice location 1

30800 Chagrin Blvd
Cleveland, OH 44124-5925
Phone (216) 591-0324 ext. 180

Other identifiers 1

IdentifierTypeStateIssuer
2374229MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
141084OHMDAddiction (Substance Use Disorder) Counselor
S.1302747OHMDAddiction (Substance Use Disorder) Counselor
I.1501440-SOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Patrello LLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1790176477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 RAVENNA ROAD",
            "address_2": "SECOND FLOOR, ROOM #1",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "440-773-8802",
            "fax_number": "303-331-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 RAVENNA ROAD",
            "address_2": "SECOND FLOOR ROOM #1",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "440-773-8802",
            "fax_number": "330-331-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30800 Chagrin Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441245925",
            "country_code": "US",
            "telephone_number": "216-591-0324 x180",
            "fax_number": "216-591-1243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "ELIZABETH",
        "middle_name": "MEATHE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "S.1302747",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "141084",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1302747",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1501440-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.