Individual provider Active NPI

Heather Lee Palisin, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1972619971
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009989 Issued in OH
Practice address
7265 Old Oak Blvd
Cleveland, OH 44130-3342
Phone
(440) 816-8200
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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.0009989 OH Primary

Addresses

Primary practice location

7265 Old Oak Blvd
Cleveland, OH 44130-3342

Mailing address

7271 Craigmere Dr
Middleburg Heights, OH 44130-5342
Phone (440) 891-1539

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
I20060912000662 OH Practitioner - Clinical Social Worker 7416951041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Strongsville Psychological Services, Inc.Group PAC ID 5193740801, 10 clinicians

Practice addresses (Care Compare)

7370 Engle Rd
Middleburg Heights, OH 44130-3429
Phone (440) 234-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009989OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Strongsville Psychological Services, Inc. CurrentSince Feb 5, 2022 Accepting new patients

Locations

7370 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 234-9955

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1972619971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7271 CRAIGMERE DR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441305342",
            "telephone_number": "440-891-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 OLD OAK BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303342",
            "telephone_number": "440-816-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALISIN",
        "first_name": "HEATHER",
        "middle_name": "LEE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.