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ANNA LISA CLARK LISW, LICDC
NPI 1457376485
Counselor - Addiction (Substance Use Disorder) in North Ridgeville, OH

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
35888 CENTER RIDGE RD, SUITE 5, NORTH RIDGEVILLE, OH 44039(440) 327-1800(440) 327-1533 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anna Lisa Clark Lisw, Licdc NPPES

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

ANNA LISA CLARK LISW, LICDC (NPI 1457376485) is an individual addiction (substance use disorder) provider in North Ridgeville, Ohio, licensed in Ohio (862262) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1995).

NPPES Registry Identity

NPI1457376485
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANNA LISA CLARKCredential: LISW, LICDC
Location Address35888 CENTER RIDGE RD, SUITE 5North Ridgeville, OH 44039-3086
Mailing Address35888 Center Ridge Rd, Suite 5North Ridgeville, OH 44039-3086 · (440) 327-1800 · Fax (440) 327-1533
Phone(440) 327-1800
Fax(440) 327-1533
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1995
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1457376485 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 · 862262
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License I-0007941 (OH)
35888 CENTER RIDGE RD, North Ridgeville, OH 44039
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Anna Lisa Clark Lisw, Licdc 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 ID4284690728
PECOS Enrollment IDI20140131000587
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

3

Medicare enrollment records show Anna Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Autumn Treatment Center LLC
136 mi
Family Medicine
1176 E HOME RD
Springfield, OH 45503
  • Reassigned Medicare billing, Ohio enrollment
  • 36 clinicians in this Medicare group
NPI 1104633221 (614) 943-3839
Grow Healthcare Group PA
1,081 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Sondermind Provider Network LLC
1,211 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Ohio enrollment
  • 313 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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

Other Providers at the Same Location NPPES 13

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

NORTH COAST EYE CARE, LLC
Optometrist
35888 CENTER RIDGE RD, SUITE 2
NORTH RIDGEVILLE, OH 44039
Lorain County (440) 327-2747
MRS. ANJELA R HINDMAN LPCC
Counselor (Professional)
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Lorain County (440) 327-1800
JANET MARIE JONES PCC
Counselor (Mental Health)
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Lorain County (440) 327-1800
MRS. SUSAN LYNN MELLOTT LSW
Social Worker
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Lorain County (440) 327-1800
MR. JOHN M. ELLIS LISW, LICDC
Social Worker (Clinical)
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Lorain County (440) 327-1800
KELSEY JAGER PC
Counselor (Mental Health)
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Lorain County (440) 327-1800
MARIA C LAUGHTON LMFT
Marriage & Family Therapist
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Lorain County (440) 327-1800
LIESL L GLOVER PH.D.
Psychologist
35888 CENTER RIDGE RD, STE. 5
NORTH RIDGEVILLE, OH 44039
Lorain County (440) 327-1800

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 Anna Clark's NPI number?

The NPI number for Anna Clark is 1457376485. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Anna Clark located?

Anna Clark practices at 35888 Center Ridge Rd Suite 5, North Ridgeville, OH 44039. The listed phone number is (440) 327-1800.

What is Anna Clark's specialty?

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

Is Anna Clark enrolled in Medicare?

Yes. Anna Clark 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 Anna Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Clark reassigns Medicare benefits to 3 organizations: Autumn Treatment Center LLC (Springfield, OH), Grow Healthcare Group PA (Miami, FL) and Sondermind Provider Network LLC (Denver, CO). 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 Anna Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Anna Clark 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 Anna Clark was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.