Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Deborah Ann Smith , LISW-S

Social Worker - Clinical โ€ข Lima, OH

Active NPI 1821133919 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1100 Shawnee Rd
Lima, OH 458053529

Call 4199992010 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1100 Shawnee Rd

Lima, OH 458053529

Telephone 4199992010
Fax 4199996284
Organization at the Same NPPES Address or Phone
Phcs, Inc. Facility NPI 1114202314

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Encompass Care, Inc.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2002

Medicare patients

71 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $119,945 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $94,857 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

24 years (graduated 2002)

CMS Doctors and Clinicians data list 2002 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Deborah Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Deborah Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lima and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Social Worker - Clinical in Ohio (2024, 347 clinicians with data). Median for this group: 130. Middle half: 74 to 228.

Too few clinicians listed under Social Worker - Clinical in Lima have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Social Worker - Clinical in Ohio (2024, 347 clinicians with data). Median for this group: $12,554. Middle half: $6,874 to $22,075.

Too few clinicians listed under Social Worker - Clinical in Lima have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Social Worker - Clinical in Ohio (2024, 347 clinicians with data). Median for this group: $9,334. Middle half: $5,010 to $16,687.

Too few clinicians listed under Social Worker - Clinical in Lima have Medicare Part B data for 2024 to compare.

76 active clinicians are listed under Social Worker - Clinical with a practice address in Lima, OH (9,847 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lima

5.3% of these 76 clinicians have the CMS telehealth indicator.

19.7% of these 76 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 1 hour
866 61 $179.56 $109.98
90832 Psychotherapy, 30 minutes
187 52 $140.43 $56.51
90834 Psychotherapy, 45 minutes
129 50 $159.07 $74.61
90791 Psychiatric diagnostic evaluation
37 37 $195.68 $121.91

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-20
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES OH I.0028480

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH 1.0028480

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0186579 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20100519000981

Enrollment State Jurisdiction

OH

PECOS Control ID

7113056730

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Encompass Care, Inc.

1100 Shawnee Rd, Lima, OH 458053529

Phone: 4199992010

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Kathleen Acheson , PT

Physical Therapist

NPI 1639839095

Physical Therapist

David Adamczyk , PT

Physical Therapist

NPI 1346909710

Physical Therapist

Tonya Camden , LISW-S

Social Worker - Clinical

NPI 1932629441

LISWS

Chasity Carrera , MSW, LISW

Social Worker - Clinical

NPI 1326294364

Master of Social Work, Licensed Independent Social Worker

Kelly Kuether , PT

Physical Therapist

NPI 1316141062

Physical Therapist

Dr. Kristen Meyer , DPT

Physical Therapist

NPI 1497023899

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location September 19, 2023

Registered at 1100 SHAWNEE RD, LIMA, OH 458053529 (Tel: 4199992010)

๐Ÿ“
Updated Business Mailing Address September 19, 2023

Registered at 1100 SHAWNEE RD, LIMA, OH 458053529 (Tel: 4199992010)

๐Ÿ‘ค
Provider Name / Credentials Updated September 19, 2023

Recorded as DEBORAH SMITH, LISW-S

๐Ÿ“
Updated Practice Location June 01, 2021

Registered at 1065 MEDINA RD, MEDINA, OH 442565375 (Tel: 6148443800)

๐Ÿ“
Updated Business Mailing Address June 01, 2021

Registered at 445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 430853192 (Tel: 6148443800)

โœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 08, 2007

Registered at 3722 WHIPPLE AVE NW, CANTON, OH 447182934 (Tel: 3304922006)

๐Ÿ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3722 WHIPPLE AVE NW, CANTON, OH 447182934 (Tel: 3304922006)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DEBORAH SMITH, LISW

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (license number reported to NPPES: OH 1.0028480)

๐ŸŸข
Initial NPI Registration & Enumeration February 20, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821133919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: March 20, 2024
Sole Proprietor: Yes

Other Social Worker - Clinicals in Lima

All Social Worker - Clinicals in Lima

Mailing Address

1100 Shawnee Rd

Lima, OH 458053529

Phone: 4199992010

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.