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ANDREA DEJACIMO MSSA, LSW
NPI 1194147678
Social Worker in Cortland, OH

Active since January 17, 2014PECOS EnrolledAccepts Medicare Assignment
724 LAKEVIEW DR, CORTLAND, OH 44410(330) 883-1563 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrea Dejacimo Mssa, Lsw NPPES

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

ANDREA DEJACIMO MSSA, LSW (NPI 1194147678) is an individual social worker in Cortland, Ohio, licensed in Ohio (S.1000821) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2011).

NPPES Registry Identity

NPI1194147678
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameANDREA DEJACIMOCredential: MSSA, LSW
Location Address724 LAKEVIEW DRCortland, OH 44410-1621
Mailing Address724 Lakeview Dr.Cortland, OH 44410 · (330) 883-1563
Phone(330) 883-1563
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2011
Enumeration DateJanuary 17, 2014
✔ NPI 1194147678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · S.1000821
Definition
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.
724 LAKEVIEW DR, Cortland, OH 44410
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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

Andrea Dejacimo Mssa, Lsw 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 ID42560898
PECOS Enrollment IDI20180829001507
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 Andrea Dejacimo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Counseling LLC
6.2 mi
Mental Health
1705 WOODLAND ST NE
Warren, OH 44483
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
NPI 1699246116 (330) 469-6777
Psycho Social Therapies,ltd
42 mi
Clinical
23366 COMMERCE PARK STE 100B
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 78 clinicians in this Medicare group
NPI 1750335261 (216) 292-2880

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

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 Andrea Dejacimo's NPI number?

The NPI number for Andrea Dejacimo is 1194147678. It was assigned to this individual provider in the NPPES registry on January 17, 2014.

Where is Andrea Dejacimo located?

Andrea Dejacimo practices at 724 Lakeview Dr, Cortland, OH 44410. The listed phone number is (330) 883-1563.

What is Andrea Dejacimo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Andrea Dejacimo enrolled in Medicare?

Yes. Andrea Dejacimo 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 Andrea Dejacimo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Dejacimo reassigns Medicare benefits to 2 organizations: Thrive Counseling LLC (Warren, OH) and Psycho Social Therapies,ltd (Beachwood, 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 Andrea Dejacimo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Dejacimo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Andrea Dejacimo 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 Andrea Dejacimo was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.