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COLLEEN WETHERWAX LISW
NPI 1669820734
Social Worker - Clinical in Chardon, OH

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
13300 AQUILLA RD, CHARDON, OH 44024(440) 279-2090(440) 285-2574 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colleen Wetherwax Lisw NPPES

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

COLLEEN WETHERWAX LISW (NPI 1669820734) is an individual clinical provider in Chardon, Ohio, licensed in Ohio (I2002109) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2016).

NPPES Registry Identity

NPI1669820734
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOLLEEN WETHERWAXCredential: LISW
Location Address13300 AQUILLA RDChardon, OH 44024-7944
Mailing Address12557 Ravenwood DrChardon, OH 44024-9009 · (440) 285-3568 · Fax (440) 285-2207
Phone(440) 279-2090
Fax(440) 285-2574
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateMay 22, 2020
NPPES CertifiedMay 22, 2020
✔ NPI 1669820734 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 · I2002109
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.
13300 AQUILLA RD, Chardon, OH 44024
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Other Names 1

Former Name (1)Colleen Bednar Lsw

Secondary Practice Locations 2

Location 112557 Ravenwood DrChardon, OH 44024-9009 · Phone (440) 285-3568 · Fax (440) 285-4552
Location 2695 South StChardon, OH 44024-1474 · Phone (440) 285-1631 · Fax (440) 285-1634

Other Identifiers 1

Medicaid0265005OH

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colleen Wetherwax Lisw 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 ID7618398629
PECOS Enrollment IDI20200529001892
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 44024 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.06
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

LAUREN ANNE PLOTT LISW
Social Worker (Clinical)
13300 AQUILLA RD
CHARDON, OH 44024
Geauga County (440) 279-2096
SARAH WREN LPC
Counselor
13300 AQUILLA RD
CHARDON, OH 44024
Geauga County (440) 279-2090

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 Colleen Wetherwax's NPI number?

The NPI number for Colleen Wetherwax is 1669820734. It was assigned to this individual provider in the NPPES registry on May 31, 2016. The provider is also known as Colleen Bednar Lsw.

Where is Colleen Wetherwax located?

Colleen Wetherwax practices at 13300 Aquilla Rd, Chardon, OH 44024. The listed phone number is (440) 279-2090.

What is Colleen Wetherwax's specialty?

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

Is Colleen Wetherwax enrolled in Medicare?

Yes. Colleen Wetherwax 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 Colleen Wetherwax accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Colleen Wetherwax 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 Colleen Wetherwax was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.