Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen Wetherwax, LISW

Individual provider Clinical Social Worker · NPI 1669820734

Colleen Wetherwax, LISW is a Clinical Social Worker in Chardon, Ohio. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2016, 10 years ago. Practices with Ravenwood Mental Health Center, a 55-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
OH
In the registry since
2016
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Practice location Address checks out

13300 Aquilla Rd
Chardon, OH 44024-7944
Phone: (440) 279-2090
Fax: (440) 285-2574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12557 Ravenwood Dr, Chardon, OH 44024-9009 — (440) 285-3568
  • 695 South St, Chardon, OH 44024-1474 — (440) 285-1631

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I2002109 (OH)

Record details

NPI number1669820734
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedMay 31, 2016
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address12557 Ravenwood Dr, Chardon, OH 44024-9009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Ravenwood Mental Health Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chardon