Regina D Coon, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1600623 Issued in OH

Practice address

2173 N Ridge Rd E
Suite E
Lorain, OH 44055-3400

Phone

(440) 260-6108

Fax

(440) 282-3400

NPI assigned

Aug 21, 2012

Last updated

Sep 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OhioguidestoneGroup PAC ID 5597910935, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment Care Compare group NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1295096758
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1881942985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172058",
            "telephone_number": "440-260-8327",
            "fax_number": "440-260-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 N RIDGE RD E",
            "address_2": "SUITE E",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553400",
            "telephone_number": "440-260-6108",
            "fax_number": "440-282-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "REGINA",
        "middle_name": "D",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600623",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0030079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constellation Schools: Lorain Community Elementary
• Constellation Schools: Lorain Community Middle
• Shannon Marie Convery, PA-C
• Rhonda Susanne Conway, MSW, LSW
• Marissa Cook
• Nicole J Cooper
• Ivonne A Cora Cosme
• Kelly Ann Cordova, LPN
• Doris Corlew
• Angela Corrao, LSW

• Clinical Social Worker in Lorain, OH
• Providers in Lorain, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.