Individual provider Active NPI

Idamari Gehalo, MSW LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1952891665
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506996 Issued in OH
Practice address
13422 Kinsman Rd
Cleveland, OH 44120-4410
Phone
(216) 283-4400
NPI assigned
May 17, 2018
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 I.2506996 OH Primary

Addresses

Primary practice location

13422 Kinsman Rd
Cleveland, OH 44120-4410

Mailing address

1535 Warren Rd Uppr Unit
Lakewood, OH 44107-4064
Phone (216) 501-9552

Other practice location 1

22540 Lorain Rd
Fairview Park, OH 44126-2212
Phone (440) 734-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSWS.2005727OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Murtis Taylor Human Services System Past Accepting new patients

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1952891665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 WARREN RD UPPR UNIT",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074064",
            "telephone_number": "216-501-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204410",
            "telephone_number": "216-283-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22540 Lorain Rd",
            "address_purpose": "LOCATION",
            "city": "Fairview Park",
            "state": "OH",
            "postal_code": "441262212",
            "country_code": "US",
            "telephone_number": "440-734-4037",
            "fax_number": "440-734-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEHALO",
        "first_name": "IDAMARI",
        "credential": "MSW LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.