Carolyn Diane Cates, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1901702 Issued in OH

Practice address

4742 Brookwood Dr
Brooklyn, OH 44144-3219

Phone

(216) 212-5181

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

80.99

Improvement activities

40

Cost

72.05

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 360Team Counseling LLC

  • Psychologist
  • Perrysburg, OH
  • NPI 1881277242

  Mental Health, OH

  Medicare reassignment NPD
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763

  OH

  Medicare reassignment NPD
• Psychology Consultants Inc

  • Clinical Social Worker
  • Medina, OH
  • NPI 1205882941

  OH

  Medicare reassignment
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  NPD
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1962758656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 BROOKWOOD DR",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443219",
            "telephone_number": "216-212-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 BROOKWOOD DR",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443219",
            "telephone_number": "216-212-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6753 State Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441344517",
            "country_code": "US",
            "telephone_number": "440-345-3020",
            "fax_number": "440-345-3019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATES",
        "first_name": "CAROLYN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901702",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW18416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britlee Brost
• Logan Joesph Bucy
• Helenrae Budzilek
• Peter S Carrillo, M.D.
• Jeffrey Scott Castel, D.D.S.
• Rebekah Maxine Chapnick, MD
• Taniesha Childs
• Josephine Chukwuonye
• Jay Chundrlek
• Circle Health Services

• All providers in Brooklyn, OH
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.