LISA DEMETER (LISW-S) – Clinical Social Worker, NPI 1164864351

LISA DEMETER (LISW-S) is a healthcare provider. based in Mentor, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I-0007121 (OH). The NPI Number for LISA DEMETER (LISW-S) is 1164864351

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
LISA DEMETER (LISW-S)
NPI
1164864351
Phone
(440) 255-8554
Address
7129 CHILLICOTHE RD
Enumeration Date
29 July 2013
Last Update Date
27 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402861553
Graduation Year
1993 (33 years ago)
PAC ID
1254565153
Group Practice PAC ID
9739458589
Professional Enrollment ID
I20131008001887
Address ID
OH440241088CH521XXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for LISA DEMETER (LISW-S)

  • 7129 CHILLICOTHE RD

    MENTOR, OH 440607124

    Phone: (440) 255-8554

    Type: Mailing

  • 9485 MENTOR AVE

    SUITE 3

    MENTOR, OH 440604597

    Phone: (440) 205-5759

    Type: Location

  • 8445 MUNSON RD

    MENTOR, OH 440602410

    Phone: (440) 255-1700

    Type: Mailing

  • 9220 MENTOR AVE

    MENTOR, OH 440606412

    Phone: (440) 639-3532

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131008001887IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739458589View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
-OH

Reviews

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Frequently asked questions

What federal number belongs to LISA DEMETER (LISW-S)?
The federal identifier for LISA DEMETER (LISW-S) is NPI 1164864351.
Is LISA DEMETER (LISW-S) currently active in the NPI registry?
CMS-published data lists LISA DEMETER (LISW-S) as an active registrant.
What field does LISA DEMETER (LISW-S) work in?
You can think of LISA DEMETER (LISW-S) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is LISA DEMETER (LISW-S)'s primary listing?
We display Mentor, Ohio because that is what the record indicates for LISA DEMETER (LISW-S).
How can I contact LISA DEMETER (LISW-S)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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