RENEE D GILROY LSW, LICDC
NPI 1043727977
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Q: What is Renee Gilroy's NPI number?

The NPI number for Renee Gilroy is 1043727977. It was assigned to this individual provider in the NPPES registry on December 31, 2017.

Q: What is Renee Gilroy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Renee Gilroy was last updated on May 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 31, 2017PECOS Enrolled

5209 DETROIT AVE, CLEVELAND, OH 44102(216) 325-9612 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2025, Mar 8, 2021, Dec 31, 2017 (3 updates tracked since 2017).

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About Renee D Gilroy Lsw, Licdc NPPES

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

RENEE D GILROY LSW, LICDC (NPI 1043727977) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (LICDC.161985) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043727977

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameRENEE D GILROYCredential: LSW, LICDC

Location Address5209 DETROIT AVECleveland, OH 44102-2224

Mailing Address4400 Euclid AveCleveland, OH 44103-3734 · (216) 325-9612

Phone(216) 325-9612

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 31, 2017

Last NPPES UpdateMay 2, 20253 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1043727977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · LICDC.161985

Also ListedSocial WorkerTaxonomy 104100000X · License S.1903442 (OH)

5209 DETROIT AVE, Cleveland, OH 44102

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Secondary Practice Locations 3

Location 14400 Euclid AveCleveland, OH 44103-3734 · Phone (216) 325-9612

Location 212201 Euclid AveCleveland, OH 44106-4310 · Phone (216) 325-9612

Location 3398 W Bagley Rd Ste 13Berea, OH 44017-1312 · Phone (440) 970-3790 · Fax (440) 527-8043

Other Identifiers 3

Medicaid0341323OH

OtherS.1903442OH · Cswmft

OtherLICDC.161985OH · Ohio Chemical Dependency Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renee D Gilroy Lsw, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779051693

PECOS Enrollment IDI20260508000229

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH GILREATH

Social Worker