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KHANNAH KEZIAH WETMORE LISW-S
NPI 1629754122
Social Worker - Clinical in Beachwood, OH

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
23625 COMMERCE PARK STE 100, BEACHWOOD, OH 44122(216) 468-5000(216) 831-4410 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Khannah Keziah Wetmore Lisw-s NPPES

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

KHANNAH KEZIAH WETMORE LISW-S (NPI 1629754122) is an individual clinical provider in Beachwood, Ohio, licensed in Ohio (I.2204081-SUPV) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629754122
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKHANNAH KEZIAH WETMORECredential: LISW-S
Location Address23625 COMMERCE PARK STE 100Beachwood, OH 44122-5847
Mailing Address341 E 235th StEuclid, OH 44123-1509 · (620) 253-4179
Phone(216) 468-5000
Fax(216) 831-4410
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2023
Last NPPES UpdateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1629754122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.2204081-SUPV
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.
23625 COMMERCE PARK STE 100, Beachwood, OH 44122
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 E 185th StCleveland, OH 44119-1330 · Phone (216) 383-2222

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khannah Keziah Wetmore Lisw-s 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 ID4183086101
PECOS Enrollment IDI20230808002359
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 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.

Other Providers at the Same Location NPPES 7

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

CEFORA RUBIN LISW
Social Worker
23625 COMMERCE PARK STE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 468-5000
JOCELYNN MARIE CHESSER LSW
Social Worker (Clinical)
23625 COMMERCE PARK STE 100
BEACHWOOD, OH 44122
Cuyahoga County (844) 439-7976
SHIRMELL MOTLEY LISW
Social Worker (Clinical)
23625 COMMERCE PARK STE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 468-5000
DEAIRA ASHLEY MCGRADY LPCC
Counselor (Professional)
23625 COMMERCE PARK STE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 468-5000
ALIA D. WORTHY LISW
Social Worker (Clinical)
23625 COMMERCE PARK STE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 468-5000
ERIKA BRITT LEIBOVITCH
Marriage & Family Therapist
23625 COMMERCE PARK STE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 468-5000
JAMI SHANES LPCC
Counselor (Professional)
23625 COMMERCE PARK STE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 468-5000

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 Khannah Wetmore's NPI number?

The NPI number for Khannah Wetmore is 1629754122. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Khannah Wetmore located?

Khannah Wetmore practices at 23625 Commerce Park Ste 100, Beachwood, OH 44122. The listed phone number is (216) 468-5000.

What is Khannah Wetmore's specialty?

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

Is Khannah Wetmore enrolled in Medicare?

Yes. Khannah Wetmore 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.

What insurance does Khannah Wetmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Khannah Wetmore 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 Khannah Wetmore was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.