MICHAEL HENRY LADOUSIER (LISW) – Clinical Social Worker, NPI 1306477419

MICHAEL HENRY LADOUSIER (LISW) is a healthcare provider. based in Smithville, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. S.2004647 (OH). The NPI Number for MICHAEL HENRY LADOUSIER (LISW) is 1306477419

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL HENRY LADOUSIER (LISW)
NPI
1306477419
Phone
Not provided
Address
4246 FULTON RD
Enumeration Date
28 January 2020
Last Update Date
11 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302649029
Graduation Year
2004 (22 years ago)
PAC ID
8921463852
Group Practice PAC ID
5991794224
Professional Enrollment ID
I20230510001300
Address ID
OH446912568WO2285XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MICHAEL HENRY LADOUSIER (LISW)

  • 4246 FULTON RD

    SMITHVILLE, OH 446779536

    Phone:

    Type: Mailing

  • 3214 W HUTTON RD

    WOOSTER, OH 446919040

    Phone: (209) 600-2029

    Type: Mailing

  • 2803 AKRON RD

    WOOSTER, OH 446917904

    Phone: (330) 264-3232

    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: 2023-05-10

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
I20230510001300IClinical 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 44677)

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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: 5991794224View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH
-OH
Nurse PractitionerOH
-OH
Clinical PsychologistOH
Clinical Social WorkerOH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

What identifier follows MICHAEL HENRY LADOUSIER (LISW) across health systems?
The NPI 1306477419 uniquely identifies MICHAEL HENRY LADOUSIER (LISW) in U.S. healthcare data.
Is MICHAEL HENRY LADOUSIER (LISW) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL HENRY LADOUSIER (LISW) as active.
What does the directory say MICHAEL HENRY LADOUSIER (LISW) does?
Insurance directories may phrase it differently, but here MICHAEL HENRY LADOUSIER (LISW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL HENRY LADOUSIER (LISW)?
MICHAEL HENRY LADOUSIER (LISW) shows a connection to Smithville, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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