Unknown Individual – Clinical Social Worker, NPI 1154512770
Clinical Social Worker
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1839, Pearl Road, Brunswick, Medina Township, Medina County, Ohio, 44212, United States
BRUNSWICK, OH 442123256
Phone: (330) 220-9679
Fax: (844) 630-5832
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 114 | 12 | $0 |
Insurance plans in this area (ZIP 44212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| Marriage And Family Therapist | CA |
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