Individual provider Active NPI

Dawn Lee Grable-Bleichrodt, LISW-S, LICDC-CS

  • Clinical Social Worker
  • Cuyahoga Falls, OH
National Provider Identifier
1801323670
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0900009 Issued in OH
Practice address
405 Tallmadge Rd
Cuyahoga Falls, OH 44221-3362
Phone
(330) 436-0957
Fax
(330) 436-0959
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 061044 OH
Clinical Social Worker 1041C0700X I 0900009 OH Primary

Addresses

Primary practice location

405 Tallmadge Rd
Cuyahoga Falls, OH 44221-3362

Mailing address

405 Tallmadge Rd
Cuyahoga Falls, OH 44221-3362
Phone (330) 436-0957

Other identifiers 1

IdentifierTypeStateIssuer
NPI 182118432OtherOHCLEVELAND CLINIC AKRON GENERAL EDWIN SHAW REHABILITATION HOSPITAL

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
I20200414003310 OH Practitioner - Clinical Social Worker 9638509623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Akron General Medical CenterGroup PAC ID 8426961061, 117 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6047

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
061044OHMDAddiction (Substance Use Disorder) Counselor
I 0900009OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Akron General Medical Center CurrentSince Mar 26, 2020 Accepting new patients
Akron General Medical Center CurrentSince Mar 26, 2020 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

405 Tallmadge Rd
Cuyahoga Fls, OH 44221
Phone (330) 436-0950

3600 W Market St
Ste 102
Fairlawn, OH 44333
Phone (330) 436-0950

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1801323670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213362",
            "telephone_number": "330-436-0957",
            "fax_number": "330-436-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213362",
            "telephone_number": "330-436-0957",
            "fax_number": "330-436-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABLE-BLEICHRODT",
        "first_name": "DAWN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LISW-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "061044",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0900009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEVELAND CLINIC AKRON GENERAL EDWIN SHAW REHABILITATION HOSPITAL",
            "identifier": "NPI 182118432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.