Individual provider Active NPI

Renee R Molzon, MSSA, LISW

  • Clinical Social Worker
  • Chardon, OH
National Provider Identifier
1912353855
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1700370 Issued in OH
Practice address
602 South St Ste C-1B
Chardon, OH 44024-1459
Phone
(440) 462-0123
Fax
(440) 214-9036
NPI assigned
May 10, 2016
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 I1700370 OH Primary

Addresses

Primary practice location

602 South St Ste C-1B
Chardon, OH 44024-1459

Mailing address

PO Box 495
Chardon, OH 44024-0495
Phone (440) 462-0123

Other practice location 1

447 South St
Chardon, OH 44024-1505
Phone (440) 462-0123

Other identifiers 1

IdentifierTypeStateIssuer
0227385MedicaidOH

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
I20180219002501 OH Practitioner - Clinical Social Worker 9335400183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

447 S St
Chardon, OH 44024-1505
Phone (440) 462-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1700370OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renee R Molzon Counseling, LLC Clinical CurrentSince Mar 1, 2018 Accepting new patients
Psycho Social Therapies,LTD Clinical CurrentSince Jan 31, 2018 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 20, 2021 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Jan 31, 2018 Accepting new patients

Locations

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

401 South St
Ste 2B-2
Chardon, OH 44024
Phone (216) 789-6914

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

Organizations & group practices 4

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1912353855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440240495",
            "telephone_number": "440-462-0123",
            "fax_number": "440-223-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SOUTH ST STE C-1B",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241459",
            "telephone_number": "440-462-0123",
            "fax_number": "440-214-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 South St",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440241505",
            "country_code": "US",
            "telephone_number": "440-462-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLZON",
        "first_name": "RENEE",
        "middle_name": "R",
        "credential": "MSSA, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1700370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227385",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.