Individual provider Active NPI

Wendy L Cantor Dobo, LISW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1992807176
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
J2553 Issued in OH
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

Updated by the provider on Dec 8, 2011

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 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

IdentifierTypeStateIssuer
032038000OtherOHMAGELLAN
343178OtherOHVALUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000577 OH Practitioner - Clinical Social Worker 5294995346 Reassigns benefits to 1 organization

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
Jewish Family Service AssociationGroup PAC ID 8729990023, 20 clinicians

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

LicenseStateTypeSpecialty
J2553OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service Association CurrentSince Nov 13, 2011 Accepting new patients
Jewish Family Service Association CurrentSince Nov 13, 2011 Accepting new patients
Comprehensive Psychiatric Services, Inc. PastSince May 1, 2014 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.

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

Verify at the official NPI Registry.