Individual provider Active NPI

Sara J Ridley, LISW

  • Clinical Social Worker
  • Shaker Heights, OH
National Provider Identifier
1942508403
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1000364 Issued in OH
Practice address
21350 Almar Dr
Shaker Heights, OH 44122-3823
Phone
(440) 941-3285
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

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
I20110706000088 OH Order and Referring Only - Clinical Social Worker 9739367236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Ridley Counseling Practice, LLC CurrentSince Aug 1, 2022 Accepting new patients
Bellefaire JCB Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1000364 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

21350 Almar Dr
Shaker Heights, OH 44122-3823

Mailing address

21350 Almar Dr
Shaker Heights, OH 44122-3823
Phone (440) 941-3285

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2025.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1942508403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21350 ALMAR DR",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223823",
            "telephone_number": "440-941-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21350 ALMAR DR",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223823",
            "telephone_number": "440-941-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "SARA",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.