Individual provider Active NPI

Abigail Paquette, LISW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1992458236
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2507014 Issued in OH
Practice address
12523 Woodside Ave
Cleveland, OH 44108-2422
Phone
(216) 367-9392
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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 I.2507014 OH Primary

Addresses

Primary practice location

12523 Woodside Ave
Cleveland, OH 44108-2422

Mailing address

12523 Woodside Ave
Cleveland, OH 44108-2422
Phone (216) 367-9392

Other identifiers 2

IdentifierTypeStateIssuer
2615030MedicaidOH
I.2507014OtherOHOHIO CSWMFT BOARD

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
I20250819001497 OH Practitioner - Clinical Social Worker 6507365319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1390 Golden Gate Blvd
Apt 204E
Mayfield Heights, OH 44124-1857

1390 Golden Gate Blvd Apt
204E
Mayfield Heights, OH 44124-1857

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 8, 2025 Accepting new patients

Locations

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1992458236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 WOODSIDE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082422",
            "telephone_number": "216-367-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 WOODSIDE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082422",
            "telephone_number": "216-367-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "ABIGAIL",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2507014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2615030",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO CSWMFT BOARD",
            "identifier": "I.2507014",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.