David Brian Noll, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1000235-SUPV Issued in OH

Practice address

1011 Boardman Canfield Rd
Boardman, OH 44512-4226

Phone

(330) 629-2888

Fax

(330) 629-2946

NPI assigned

May 10, 2007

Last updated

Oct 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rajendra P Koirala, M.D., LLCGroup PAC ID 8820334931, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rajendra P Koirala, M.D., LLC

  dba Restore Compassionate Behavioral Health

  • Psychiatry Physician
  • Youngstown, OH
  • NPI 1760977177
  Medicare reassignment Care Compare group
• Family Recovery Center

  • Community/Behavioral Health Agency
  • Lisbon, OH
  • NPI 1740548155
  NPD (past)
• Psycare Inc

  • Mental Health Counselor
  • Austintown, OH
  • NPI 1023338605
  NPD (past)
• Rajendra P Koirala, M.D., LLC

  dba Restore Compassionate Primary Care

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1265142830
  NPD (past)
• Beacon Clinic, Inc.

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1194803734
  NPD (past)
• CGR Beacon Clinic, PA

  • Professional Counselor
  • Port Charlotte, FL
  • NPI 1841220811
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1992919591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124226",
            "telephone_number": "330-629-2888",
            "fax_number": "330-629-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124226",
            "telephone_number": "330-629-2888",
            "fax_number": "330-629-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000235-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas a Atanasoff DO
• Carla Sue Nicholas, OT
• Natalie Elizabeth Nickles, PA-C
• David Noday, R.PH.
• Johanna Santos Nogay, DMD
• Northern Ohio Medical Specialists, LLC (NOMS Ankle & Foot Care Center)
• Northern Ohio Medical Specialists, LLC (NOMS Foot & Ankle Care Center)
• Northland Hearing Centers, Inc (All American Hearing)
• Nova Medical Transportation
• William K Nowotny, D.O.

• Clinical Social Worker in Boardman, OH
• Providers in Boardman, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.

Verify at the official NPI Registry.