Individual provider Active NPI

Kristen Joann Garn, LSW

  • Social Worker
  • Mansfield, OH
National Provider Identifier
1215293568
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0800348 Issued in OH
Practice address
741 Scholl Road
Mansfield, OH 44907-1578
Phone
(419) 756-1717
Fax
(419) 756-2594
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0800348 OH Primary

Addresses

Primary practice location

741 Scholl Road
Mansfield, OH 44907-1578

Mailing address

270 Sterkel Blvd
Mansfield, OH 44907-1578
Phone (419) 756-1133

Other identifiers 1

IdentifierTypeStateIssuer
S0800348OtherOHLICENSURE

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
I20230919000556 OH Practitioner - Clinical Social Worker 8224492699 Reassigns benefits to 1 organization

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
Ace Wellness CenterGroup PAC ID 8921463647, 5 clinicians

Practice addresses (Care Compare)

1638 Eagle Way
Ashland, OH 44805-8924
Phone (419) 903-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0800348OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Wellness Center CurrentSince Sep 11, 2023 Accepting new patients

Locations

1638 Eagle Way
Ashland, OH 44805
Phone (419) 903-0133

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1215293568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 STERKEL BLVD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071578",
            "telephone_number": "419-756-1133",
            "fax_number": "419-756-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 SCHOLL ROAD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071578",
            "telephone_number": "419-756-1717",
            "fax_number": "419-756-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARN",
        "first_name": "KRISTEN",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0800348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "S0800348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.