Active NPI
Abigail Paquette, LISW
- Social Worker
- Cleveland, OH
National Provider Identifier
1992458236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.2507014
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2615030 | Medicaid | OH | |
| I.2507014 | Other | OH | OHIO 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.