Colleen Wetherwax, LISW
NPI 1669820734 · Clinical Social Worker · Chardon, OH
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colleen Wetherwax, LISW is a Clinical Social Worker provider in Chardon, OH (NPI 1669820734).
Provider details
- NPI number
- 1669820734
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- Yes
- License
- I2002109 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 695 South StChardon, OH 44024-1474Phone: (440) 285-1631Fax: (440) 285-1634
- 12557 Ravenwood DrChardon, OH 44024-9009Phone: (440) 285-3568Fax: (440) 285-4552
Registry dates
- Enumerated
- 2016-05-31
- Last updated
- 2020-05-22
- Certified
- 2020-05-22
Frequently asked questions
- What is Colleen Wetherwax's NPI number?
- Colleen Wetherwax's National Provider Identifier (NPI) is 1669820734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colleen Wetherwax's specialty?
- Colleen Wetherwax is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Colleen Wetherwax located?
- Colleen Wetherwax's practice location on file with NPPES is 13300 Aquilla Rd, Chardon, OH 44024-7944.
- What is Colleen Wetherwax's phone number?
- The practice phone number listed in the NPPES registry for Colleen Wetherwax is (440) 279-2090.
- Does Colleen Wetherwax accept Medicare?
- Colleen Wetherwax is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Colleen Wetherwax's NPI active?
- Yes — Colleen Wetherwax's NPI (1669820734) is active in the NPPES registry as of the last update on 2020-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.