Individual provider Active NPI

Heather Graehling

  • Social Worker
  • Akron, OH
National Provider Identifier
1972087500
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1800630 Issued in OH
Practice address
580 Grant St
Akron, OH 44311-9910
Phone
(330) 376-9494
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1800630 OH Primary

Addresses

Primary practice location

580 Grant St
Akron, OH 44311-9910

Mailing address

4019 Pardee Rd
Stow, OH 44224-3630

Other identifiers 1

IdentifierTypeStateIssuer
1800630OtherOHSOCIAL WORK LICENSE

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
I20241211000638 OH Practitioner - Clinical Social Worker 3476089616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1800630OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Professional Services, Inc. Social Worker CurrentSince Oct 3, 2024 Accepting new patients
Greenleaf Family Center Past Accepting new patients
Greenleaf Family Center PastSince Mar 29, 2014 Accepting new patients

Locations

2421 13th St NW
Canton, OH 44708
Phone (330) 452-6000

624 Market Ave N
Canton, OH 44702
Phone (330) 454-7066

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/greenleafctr/r4/

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1972087500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 PARDEE RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442243630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 GRANT ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443119910",
            "telephone_number": "330-376-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEHLING",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1800630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "1800630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.