NICOLE EDGELL (LSW) – Social Worker, NPI 1508357286

NICOLE EDGELL (LSW) is a healthcare provider. based in Ashtabula, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW. They hold a License No. S.1802535 (OH). The NPI Number for NICOLE EDGELL (LSW) is 1508357286

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE EDGELL (LSW)
NPI
1508357286
Phone
(440) 536-5680
Address
525 Lake Ave
Enumeration Date
29 May 2018
Last Update Date
4 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006916113
Graduation Year
2018 (8 years ago)
PAC ID
7618310723
Group Practice PAC ID
0941610919
Professional Enrollment ID
I20240206001734
Address ID
OH439521380ST1524XBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for NICOLE EDGELL (LSW)

  • 525 Lake Ave

    Ashtabula, OH 440043261

    Phone: (440) 536-5680

    Type: Location

  • 8445 Munson Rd

    Mentor, OH 44060

    Phone: (440) 255-1700

    Fax: (440) 205-2417

    Type: Location

  • Elsinore Place, Walnut Hills, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452021459

    Phone: (513) 834-7063

    Fax: (513) 873-1567

    Type: Mailing

  • South Ridge Road East, Ashtabula, Ashtabula County, Ohio, 44048, United States

    ASHTABULA, OH 440044459

    Phone: (513) 834-7063

    Fax: (513) 873-1567

    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: 2024-02-06

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
I20240206001734IClinical 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 44004)

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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: 0941610919View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
P S Y C H I A T R YPA
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What unique ID ties claims to NICOLE EDGELL (LSW)?
NPI 1508357286 is assigned to NICOLE EDGELL (LSW) under the national enumeration system.
Is NICOLE EDGELL (LSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does NICOLE EDGELL (LSW) treat or focus on?
Patients typically see NICOLE EDGELL (LSW) under the specialty Social Worker. Clinical services aligned with this taxonomy classification.
Where is NICOLE EDGELL (LSW)'s primary listing?
We display Ashtabula, Ohio because that is what the record indicates for NICOLE EDGELL (LSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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