Individual provider Active NPI

Christina Dawson, LISW-S

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1922658202
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
23715 Mercantile Rd Ste A203
Beachwood, OH 44122-5918
Phone
(216) 292-2880
Fax
(216) 446-6030
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 Primary

Addresses

Primary practice location

23715 Mercantile Rd Ste A203
Beachwood, OH 44122-5918

Mailing address

2275 State Route 59
Kent, OH 44240-7143
Phone (330) 593-5959

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
I20191001001902 OH Practitioner - Clinical Social Worker 3779813910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelly Reeves Memorial FoundationGroup PAC ID 2961885314, 6 clinicians

Practice addresses (Care Compare)

2275 State Route 59
Kent, OH 44240-7143
Phone (330) 593-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Reeves Memorial Foundation CurrentSince May 18, 2024 Accepting new patients
Psycho Social Therapies,LTD Clinical CurrentSince Sep 18, 2019 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Sep 18, 2019 Accepting new patients

Locations

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

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

2275 State Route 59
Kent, OH 44240
Phone (330) 593-5959

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1922658202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442407143",
            "telephone_number": "330-593-5959",
            "fax_number": "216-446-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23715 MERCANTILE RD STE A203",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225918",
            "telephone_number": "216-292-2880",
            "fax_number": "216-446-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "CHRISTINA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.