MARY MELISSA EATON (LISW) – Clinical Social Worker, NPI 1508356775

MARY MELISSA EATON (LISW) is a healthcare provider. based in Mentor, Ohio. specializing in Clinical Social Worker. They hold the professional credentials LISW. They hold a License No. I.1800967 (OH). The NPI Number for MARY MELISSA EATON (LISW) is 1508356775

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MARY MELISSA EATON (LISW)
NPI
1508356775
Phone
(440) 299-8674
Address
7537 MENTOR AVE STE 208
Enumeration Date
14 May 2018
Last Update Date
14 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4407016170
Graduation Year
2009 (17 years ago)
PAC ID
0345674693
Group Practice PAC ID
5799038055
Professional Enrollment ID
I20191219003075
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for MARY MELISSA EATON (LISW)

  • Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States

    MENTOR, OH 440605464

    Phone: (440) 299-8674

    Type: Location

  • 2215, Cranston Road, University Heights, Cuyahoga County, Ohio, 44118, United States

    UNIVERSITY HEIGHTS, OH 441183032

    Phone: (415) 405-6310

    Type: Mailing

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: 2019-12-19

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
I20191219003075IClinical 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: 5799038055View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerCA
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What number should I use to identify MARY MELISSA EATON (LISW) for billing?
Administrative and clinical systems typically use NPI 1508356775 for MARY MELISSA EATON (LISW).
Should I treat MARY MELISSA EATON (LISW) as an active provider?
Patients and plans typically see MARY MELISSA EATON (LISW) as active in the national extract.
How should patients interpret MARY MELISSA EATON (LISW)'s specialty?
The extract shows Clinical Social Worker for MARY MELISSA EATON (LISW). Clinical services aligned with this taxonomy classification.
Which community is linked to MARY MELISSA EATON (LISW)?
MARY MELISSA EATON (LISW) shows a connection to Mentor, 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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