Individual provider Active NPI

Nicole Mary Podgorski, LISW

  • Clinical Social Worker
  • Middleburg Heights, OH
National Provider Identifier
1891213294
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506872 Issued in OH
Practice address
7055 Engle Rd BLDG 6-601
Middleburg Heights, OH 44130-8491
Phone
(440) 610-7733
NPI assigned
Sep 6, 2017
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162430 NU
Social Worker 104100000X 1600701 OH
Clinical Social Worker 1041C0700X I.2506872 OH Primary

Addresses

Primary practice location

7055 Engle Rd BLDG 6-601
Middleburg Heights, OH 44130-8491

Mailing address

7055 Engle Rd BLDG 6-601
Middleburg Heights, OH 44130-8491
Phone (440) 610-7733

Other identifiers 1

IdentifierTypeStateIssuer
0262708MedicaidOH

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
I20230915003443 OH Practitioner - Clinical Social Worker 6709240260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1600701OHMDSocial Worker
I.2506872OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Mindfulness Practice LLC Single Specialty CurrentSince Jul 31, 2025 Accepting new patients

Locations

7055 Engle Rd
Bldg 6
Middleburg Heights, OH 44130
Phone (833) 800-2519

7055 Engle Rd
Bldg 6601
Middleburg Heights, OH 44130
Phone (216) 200-7840

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1891213294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 ENGLE RD BLDG 6-601",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308491",
            "telephone_number": "440-610-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 ENGLE RD BLDG 6-601",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308491",
            "telephone_number": "440-610-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODGORSKI",
        "first_name": "NICOLE",
        "middle_name": "MARY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": "LICDC.162430",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1600701",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262708",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.