Active NPI
Wendy L Cantor Dobo, LISW
- Clinical Social Worker
- Beachwood, OH
National Provider Identifier
1992807176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- J2553
- Practice address
- 24400 Highpoint Rd
Beachwood, OH 44122 - Phone
- (216) 831-6550
- Fax
- (216) 831-6133
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | J2553 | OH | Primary |
Addresses
Primary practice location
24400 Highpoint Rd
Beachwood, OH 44122
Mailing address
24400 Highpoint Rd
Beachwood, OH 44122
Phone (216) 831-6550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032038000 | Other | OH | MAGELLAN |
| 343178 | Other | OH | VALUE OPTIONS - FACILITY |
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, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
29125 Chagrin Blvd
Beachwood, OH 44122-4609
Phone (216) 292-3999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2553 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service Association | Current | Accepting new patients | |
| Jewish Family Service Association | Current | Accepting new patients | |
| Comprehensive Psychiatric Services, Inc. | Past | Accepting new patients |
Locations
29125 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 504-6476
24075 Commerce Park
Beachwood, OH 44122
Phone (216) 831-5700
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.
-
- Community/Behavioral Health Agency
- Pepper Pike, OH
- NPI 1659445153
-
- Home Health Agency
- Pepper Pike, OH
- NPI 1528192655
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1740393545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1992807176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24400 HIGHPOINT RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-831-6550",
"fax_number": "216-831-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24400 HIGHPOINT RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-831-6550",
"fax_number": "216-831-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTOR DOBO",
"first_name": "WENDY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "J2553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "032038000",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS - FACILITY",
"identifier": "343178",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.