Individual provider Active NPI

Mutajah Hussein, DSW, LISW, JD

  • Clinical Social Worker
  • Parma, OH
National Provider Identifier
1154980662
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102851-SUPV Issued in OH
Practice address
1440 Rockside Rd Ste 216
Parma, OH 44134-2749
Phone
(216) 777-6062
NPI assigned
Jun 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X I.2102851-SUPV OH Primary

Addresses

Primary practice location

1440 Rockside Rd Ste 216
Parma, OH 44134-2749

Mailing address

13700 Fairhill Rd Apt 306
Shaker Heights, OH 44120-1258
Phone (216) 408-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708001954 OH Practitioner - Clinical Social Worker 3678975935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kindred Harbor Behavioral Health, LLCGroup PAC ID 5092113506, 3 clinicians

Practice addresses (Care Compare)

1440 Rockside Rd
Suite 216
Parma, OH 44134-2749
Phone (216) 777-6062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jun 1, 2021 Accepting new patients
The Metrohealth System CurrentSince Jun 1, 2021 Accepting new patients
Kindred Harbor Behavioral Health, LLC CurrentSince Jun 10, 2021 Accepting new patients
Inner Thoughts Mental Health Services LLC CurrentSince Oct 25, 2022 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

1440 Rockside Rd
Ste 216
Parma, OH 44134
Phone (216) 408-9355

1414 S Green Rd
Ste 301
South Euclid, OH 44121
Phone (216) 487-1316

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1154980662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 FAIRHILL RD APT 306",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441201258",
            "telephone_number": "216-408-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 216",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "216-777-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "MUTAJAH",
        "credential": "DSW, LISW, JD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-08",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102851-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.