Kathleen Mary Pummill, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1802136 Issued in OH

Practice address

888 Thurber Dr W Apt H
Columbus, OH 43215-1268

Phone

(419) 351-8451

NPI assigned

May 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kathleen Ewald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1033567334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 THURBER DR W APT H",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 THURBER DR W APT H",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151268",
            "telephone_number": "419-351-8451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Fayetteville St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276011792",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUMMILL",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1802136",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033567334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "EWALD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanette L Pulskamp-Jackson, LISW-SUPV
• Julie Elaine Pultinas, MD
• Andrea Pultz
• Vanessa Ann Pultz, RPH
• James Quereau Pulvino, M.D.
• Sai Rithin Punjala, MBBS, MRCS, MS
• Alissa Kenlynn Puntel
• Pur-Pus Supported Living
• Michael Gregory Purcell
• Samantha Michelle Purcell

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.