Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669820734 Individual Practitioner Female Practitioner

Colleen Wetherwax , LISW

Social Worker - Clinical • Chardon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Colleen Wetherwax, LISW is a certified Social Worker - Clinical practicing in Chardon, OH. With approximately 10 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2016, Colleen Wetherwax delivers high-quality medical care to the local community at 13300 AQUILLA RD.

Colleen Wetherwax is affiliated with Ravenwood Mental Health Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

13300 Aquilla Rd

Chardon, OH 440247944

Telephone 4402792090
Fax 4402852574
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Chardon, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -1.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
65 Specialists

Practicing in Chardon, OH (10077 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wetherwax (10 Years) 10 Yrs
Chardon Specialty Average (11.5 Years) 11.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-05-22
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH I2002109

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0265005 (OH)

Hospital & Practice Group Affiliations

Ravenwood Mental Health Center

12557 Ravenwood Dr, Chardon, OH 440249009

Phone: 4402853568

Secondary Practice Locations

695 South St

Chardon, OH 440241474

Phone: 4402851631

12557 Ravenwood Dr

Chardon, OH 440249009

Phone: 4402853568

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1649651456

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 22, 2020

Registered at 13300 AQUILLA RD, CHARDON, OH 440247944 (Tel: 4402792090)

📍
Updated Business Mailing Address May 22, 2020

Registered at 12557 RAVENWOOD DR, CHARDON, OH 440249009 (Tel: 4402853568)

👤
Provider Name / Credentials Updated May 22, 2020

Recorded as COLLEEN WETHERWAX, LISW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2020

Social Worker (License #I2002109 in OH)

NPI Profile Active May 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2016

Registered at 401 SOUTH ST, CHARDON, OH 440242805 (Tel: 4402852170)

📍
Updated Business Mailing Address May 31, 2016

Registered at 401 SOUTH ST, CHARDON, OH 440242805 (Tel: 4402852170)

👤
Provider Name / Credentials Updated May 31, 2016

Recorded as COLLEEN BEDNAR, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Social Worker (License #S.1700276 in OH)

🟢
Initial NPI Registration & Enumeration May 31, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669820734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2016
Last Update: May 22, 2020
Sole Proprietor: Yes

Mailing Address

12557 Ravenwood Dr

Chardon, OH 440249009

Phone: 4402853568

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.