Kristal Marie Mutwiri, MSW/LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0028057 Issued in OH

Practice address

205 W Market St FL 5
Lima, OH 45801-4865

Phone

(419) 229-2222

Fax

(419) 229-2227

NPI assigned

Jul 27, 2007

Last updated

Jul 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lutheran Social Services of Northwestern Ohio

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1881773687
  NPD (past)
• North Suffolk Community Services Inc.

  • Clinic/Center
  • East Boston, MA
  • NPI 1740209881
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1033309901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MARKET ST FL 5",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014865",
            "telephone_number": "419-229-2222",
            "fax_number": "419-229-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MARKET ST FL 5",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014865",
            "telephone_number": "419-229-2222",
            "fax_number": "419-229-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTWIRI",
        "first_name": "KRISTAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW/LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33004758A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0028057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie A Mumaw, MSN CRNP
• Jasmine Murphy
• Elizabeth Murray
• Daniel Sullivan Murtagh Jr., MD
• Kimberly Musser, CNP
• Munazza Muzzammal, MD
• Camdien Damon Lockhart Myatt
• Myers Pcah Cares LLC (PCAH of Findlay and Lima)
• Ellabelle Rose Myers
• Jennifer Myers

• Clinical Social Worker in Lima, OH
• Providers in Lima, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.