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EMERSON SAMUEL FETTY LISW
NPI 1821506437
Social Worker - Clinical in Akron, OH

Active since January 17, 2018PECOS EnrolledAccepts Medicare Assignment
45 ARCH ST STE 500, AKRON, OH 44304(330) 379-5094(330) 379-5095 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2025, Jan 17, 2018 (2 updates tracked since 2018).

About Emerson Samuel Fetty Lisw NPPES

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

EMERSON SAMUEL FETTY LISW (NPI 1821506437) is an individual clinical provider in Akron, Ohio, licensed in Ohio (I.2002270) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821506437
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEMERSON SAMUEL FETTYCredential: LISW
Location Address45 ARCH ST STE 500Akron, OH 44304-1403
Mailing Address45 Arch St Ste 500Akron, OH 44304-1403
Phone(330) 379-5094
Fax(330) 379-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 17, 2018
Last NPPES UpdateAugust 9, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1821506437 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.2002270
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.
45 ARCH ST STE 500, Akron, OH 44304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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

Emerson Samuel Fetty 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 ID7618393554
PECOS Enrollment IDI20200821002063
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 Emerson Fetty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summa Physicians LLC
Same address
Psychiatry
45 ARCH ST STE 600
Akron, OH 44304
  • Reassigned Medicare billing, Ohio enrollment
  • 655 clinicians in this Medicare group
NPI 1720276298 (330) 379-8190
Thrive Counseling LLC
283 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Ohio enrollment
  • 62 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44304 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 4

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

TARA PETERS MSW, LISW-S
Social Worker (Clinical)
45 ARCH ST STE 500
AKRON, OH 44304
Summit County (330) 379-5094
DR. ALYSSA EVERSMEYER PHD
Psychologist (Counseling)
45 ARCH ST STE 500
AKRON, OH 44304
Summit County (330) 379-8190
SUMMA PHYSICIANS LLC
Psychologist (Clinical)
45 ARCH ST STE 500
AKRON, OH 44304
Summit County (330) 379-5094
TAMIKA Y PERKINS LPCC-S
Counselor (Mental Health)
45 ARCH ST STE 500
AKRON, OH 44304
Summit County (330) 379-5094

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 Emerson Fetty's NPI number?

The NPI number for Emerson Fetty is 1821506437. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Emerson Fetty located?

Emerson Fetty practices at 45 Arch St Ste 500, Akron, OH 44304. The listed phone number is (330) 379-5094.

What is Emerson Fetty's specialty?

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

Is Emerson Fetty enrolled in Medicare?

Yes. Emerson Fetty 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 Emerson Fetty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emerson Fetty reassigns Medicare benefits to 2 organizations: Summa Physicians LLC (Akron, OH) and Thrive Counseling LLC (Lynchburg, VA). 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 Emerson Fetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emerson Fetty accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Emerson Fetty 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 Emerson Fetty was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.