Individual provider Active NPI

Christina H Ren, LISW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1982631651
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0002888 Issued in OH
Practice address
3733 Park East Dr
100
Beachwood, OH 44122-4338
Phone
(216) 831-6611
Fax
(216) 831-2726
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I0002888 OH Primary

Addresses

Primary practice location

3733 Park East Dr
100
Beachwood, OH 44122-4338

Mailing address

3733 Park East Dr
100
Beachwood, OH 44122-4338
Phone (216) 831-6611

Other identifiers 1

IdentifierTypeStateIssuer
137606OtherNDBLUE CROSS

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
I20130514000096 OH Practitioner - Clinical Social Worker 7810134707 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, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners for Behavioral Health and Wellness IncGroup PAC ID 6305088972, 22 clinicians

Practice addresses (Care Compare)

24800 Highpoint Rd
Suite a
Beachwood, OH 44122-6043

24800 Highpoint Rd
Suite a
Beachwood, OH 44122-6051

24800 Highpoint Rd a
Beachwood, OH 44122-6043

24800 Highpoint Rd a
Beachwood, OH 44122-6051
Phone (216) 342-5496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0002888OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners for Behavioral Health and Wellness Inc CurrentSince Nov 4, 2013 Accepting new patients

Locations

24800 Highpoint Rd
Beachwood, OH 44122
Phone (216) 342-5496

24800 Highpoint Rd
Ste A
Beachwood, OH 44122
Phone (216) 342-5496

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982631651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224338",
            "telephone_number": "216-831-6611",
            "fax_number": "216-831-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224338",
            "telephone_number": "216-831-6611",
            "fax_number": "216-831-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REN",
        "first_name": "CHRISTINA",
        "middle_name": "H",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0002888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "137606",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.