MRS. MARY EMMA CRENSHAW LISW,LICDC
NPI 1982971263
Counselor - Addiction (Substance Use Disorder) in Garfield Heights, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since November 30, 2011PECOS EnrolledAccepts Medicare Assignment

12395 MCCRACKEN RD STE A-UP, GARFIELD HEIGHTS, OH 44125(216) 587-6727 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Mary Emma Crenshaw Lisw,licdc NPPES

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

MRS. MARY EMMA CRENSHAW LISW,LICDC (NPI 1982971263) is an individual addiction (substance use disorder) provider in Garfield Heights, Ohio, licensed in Ohio (976149) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1982971263

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. MARY EMMA CRENSHAWCredential: LISW,LICDC

Location Address12395 MCCRACKEN RD STE A-UPGarfield Heights, OH 44125-2967

Mailing Address5504 State RdParma, OH 44134-2250 · (216) 773-2503

Phone(216) 587-6727

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 30, 2011

Last NPPES UpdateApril 11, 2025

NPPES CertifiedApril 11, 2025

✔ NPI 1982971263 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 · 976149

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0600066 (OH)

12395 MCCRACKEN RD STE A-UP, Garfield Heights, OH 44125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Molina Healthcare, Oscar Insurance Corporation of Ohio.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

Mrs. Mary Emma Crenshaw 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 ID3779011291

PECOS Enrollment IDI20250113000663

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.