NICOLE EDGELL LSW
NPI 1508357286
Social Worker in Ashtabula, OH

Q: What is Nicole Edgell's NPI number?

The NPI number for Nicole Edgell is 1508357286. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Q: What is Nicole Edgell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Edgell was last updated on November 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 29, 2018PECOS EnrolledAccepts Medicare Assignment

2210 S RIDGE RD E, ASHTABULA, OH 44004(513) 834-7063(513) 873-1567 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2020, Aug 28, 2019 (2 updates tracked since 2019).

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About Nicole Edgell Lsw NPPES

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

NICOLE EDGELL LSW (NPI 1508357286) is an individual social worker in Ashtabula, Ohio, licensed in Ohio (S.1802535) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508357286

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameNICOLE EDGELLCredential: LSW

Location Address2210 S RIDGE RD EAshtabula, OH 44004-4459

Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1459 · (513) 834-7063 · Fax (513) 873-1567

Phone(513) 834-7063

Fax(513) 873-1567

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 29, 2018

Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration

NPPES CertifiedNovember 4, 2020

✔ NPI 1508357286 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.1802535

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.

2210 S RIDGE RD E, Ashtabula, OH 44004

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Secondary Practice Locations 2

Location 1525 Lake AveAshtabula, OH 44004-3261 · Phone (440) 536-5680

Location 28445 Munson RdMentor, OH 44060 · Phone (440) 255-1700 ext. 415 · Fax (440) 205-2417

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare 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 and accepts Medicare assignment

Nicole Edgell 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 ID7618310723

PECOS Enrollment IDI20240206001734

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 18

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

JASON ROBERT CARMODY

Counselor (Addiction (Substance Use Disorder))