Individual provider Active NPI

Corinne Santore, LISW-S, LICDC

  • Clinical Social Worker
  • Chesterland, OH
National Provider Identifier
1962711820
Registry record updated Jul 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800269-SUPV Issued in OH
Practice address
11579 Chillicothe Rd
Chesterland, OH 44026
Phone
(440) 533-1009
Fax
(440) 533-1009
NPI assigned
Sep 27, 2010
Last updated
Jul 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2018

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.0800269-SUPV OH Primary

Addresses

Primary practice location

11579 Chillicothe Rd
Chesterland, OH 44026

Mailing address

11579 Chillicothe Rd
Chesterland, OH 44026-1409
Phone (440) 533-1009

Other names 1

  • Corinne Raischel Former name

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
I20140924001751 OH Practitioner - Clinical Social Worker 2769665645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santore and Associates, Health and Wellness, LLCGroup PAC ID 5395084354, 3 clinicians

Practice addresses (Care Compare)

8211 Mayfield Rd
Chesterland, OH 44026-2508
Phone 44053310091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0800269-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Santore & Associates, Health and Wellness, LLC Clinical CurrentSince Jan 15, 2019 Accepting new patients

Locations

11579 Chillicothe Rd
Chesterland, OH 44026
Phone (216) 780-0328

8140 Mayfield Rd
Ste 3
Chesterland, OH 44026
Phone (440) 533-1009

8211 Mayfield Rd
Chesterland, OH 44026
Phone (440) 533-1009

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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532736000000",
    "number": "1962711820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11579 CHILLICOTHE RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440261409",
            "telephone_number": "440-533-1009",
            "fax_number": "440-533-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11579 CHILLICOTHE RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "44026",
            "telephone_number": "440-533-1009",
            "fax_number": "440-533-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORE",
        "first_name": "CORINNE",
        "name_prefix": "Ms.",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2018-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800269-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "RAISCHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterland, OH

Sources for this page

Verify at the official NPI Registry.