Individual provider Active NPI

Elena Rodgers, LISW-S

  • Clinical Social Worker
  • Fairlawn, OH
National Provider Identifier
1912482597
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405436 Issued in OH
Practice address
150 N Miller Rd Ste 450D-5
Fairlawn, OH 44333-3770
Phone
(216) 438-3284
Fax
(216) 452-2146
NPI assigned
Sep 28, 2018
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.2405436 OH
Clinical Social Worker 1041C0700X I.2405436 OH Primary

Addresses

Primary practice location

150 N Miller Rd Ste 450D-5
Fairlawn, OH 44333-3770

Mailing address

150 N Miller Rd Ste 450D-5
Fairlawn, OH 44333-3770
Phone (216) 438-3019

Other identifiers 1

IdentifierTypeStateIssuer
0316619MedicaidOH

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
I20240729003550 OH Practitioner - Clinical Social Worker 8527504315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Psychotherapy Services, LLC Clinical CurrentSince Jan 5, 2025 Accepting new patients

Locations

150 N Miller Rd
Ste 450D
Fairlawn, OH 44333

150 N Miller Rd
Ste 450D5
Fairlawn, OH 44333
Phone (216) 438-3284

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1912482597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MILLER RD STE 450D-5",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333770",
            "telephone_number": "216-438-3019",
            "fax_number": "216-452-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MILLER RD STE 450D-5",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333770",
            "telephone_number": "216-438-3284",
            "fax_number": "216-452-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "ELENA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2405436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0316619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.