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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARMEN VERNON
NPI 1013583137
Social Worker - Clinical in Cleveland, OH

Active since May 29, 2021PECOS EnrolledAccepts Medicare Assignment
4411 W 182ND ST, CLEVELAND, OH 44135(216) 706-9371 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, May 28, 2026, Dec 3, 2024 and 2 more (5 updates tracked since 2021).

About Carmen Vernon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN VERNON (NPI 1013583137) is an individual clinical provider in Cleveland, Ohio, licensed in Ohio (I.2406074) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013583137
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARMEN VERNON
Location Address4411 W 182ND STCleveland, OH 44135-3827
Mailing Address4411 W 182nd StCleveland, OH 44135-3827
Phone(216) 706-9371
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 29, 2021
Last NPPES UpdateSeptember 1, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1013583137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.2406074
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X
4411 W 182ND ST, Cleveland, OH 44135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carmen Vernon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628567187
PECOS Enrollment IDI20251027002211
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Carmen Vernon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
5.8 mi
Mental Health
27101 E OVIATT RD
Bay Village, OH 44140
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1740787480 (440) 742-4425
Riveon Mental Health And Recovery
18 mi
Primary Care
6140 S BROADWAY
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 70 clinicians in this Medicare group
NPI 1376234914 (440) 233-7232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Vernon's NPI number?

The NPI number for Carmen Vernon is 1013583137. It was assigned to this individual provider in the NPPES registry on May 29, 2021.

Where is Carmen Vernon located?

Carmen Vernon practices at 4411 W 182nd St, Cleveland, OH 44135. The listed phone number is (216) 706-9371.

What is Carmen Vernon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carmen Vernon enrolled in Medicare?

Yes. Carmen Vernon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carmen Vernon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Vernon reassigns Medicare benefits to 2 organizations: (Bay Village, OH) and Riveon Mental Health And Recovery (Lorain, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Vernon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Vernon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Carmen Vernon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmen Vernon was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.