Individual provider Active NPI

Reyna Marian Thomae-Starzyk, LISW-S

  • Clinical Social Worker
  • Austintown, OH
National Provider Identifier
1790274306
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.0800206 Issued in OH
Practice address
25 N Canfield Niles Rd Ste 45
Austintown, OH 44515-2308
Phone
(330) 501-1545
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 S.0800206 OH Primary

Addresses

Primary practice location

25 N Canfield Niles Rd Ste 45
Austintown, OH 44515-2308

Mailing address

25 N Canfield Niles Rd Ste 45
Austintown, OH 44515-2308
Phone (330) 501-1545

Other names 1

  • Ms. Reyna Marian Thomae Former name

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
I20200114001094 OH Practitioner - Clinical Social Worker 5799110151 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starz Counseling, LLCGroup PAC ID 3779934120, 2 clinicians

Practice addresses (Care Compare)

25 N Canfield Niles Rd
Suite 45
Austintown, OH 44515-2308
Phone (330) 301-1545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.0800206OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Flying High Inc. CurrentSince Feb 27, 2021 Accepting new patients
Churchill Counseling Services, Inc CurrentSince Jul 19, 2021 Accepting new patients
Starz Counseling, LLC Clinical CurrentSince Nov 1, 2023 Accepting new patients
Trumbull Mahoning Medical Group, Inc. PastSince Jul 19, 2021 Accepting new patients

Locations

3649 Canfield Rd
Ste 8
Canfield, OH 44406
Phone (330) 270-3040

6 Federal Plaza Central
Ste 701
Youngstown, OH 44503
Phone (330) 797-3995

6 W Federal St
Ste 701
Youngstown, OH 44503
Phone (330) 797-3995

4531 Belmont Ave
Ste 8
Youngstown, OH 44505
Phone (330) 759-0099

25 N Canfield Niles Rd
Ste 45
Youngstown, OH 44515
Phone (330) 301-1545

Organizations & group practices 5

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1790274306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD STE 45",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152308",
            "telephone_number": "330-501-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD STE 45",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152308",
            "telephone_number": "330-501-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAE-STARZYK",
        "first_name": "REYNA",
        "middle_name": "MARIAN",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0800206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REYNA",
            "last_name": "THOMAE",
            "middle_name": "MARIAN",
            "prefix": "MS.",
            "credential": "MSWLSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.