Kathleen Marie McGavin, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0007509 Issued in OH

Practice address

34305 Solon Rd
Suite 52
Solon, OH 44139-2666

Phone

(440) 349-3038

Fax

(440) 349-3081

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Organization for Psychological Health IncGroup PAC ID 5799839023, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Organization for Psychological Health Inc

  • Psychologist
  • Solon, OH
  • NPI 1164547410
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1235289372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34305 SOLON RD",
            "address_2": "SUITE 52",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392666",
            "telephone_number": "440-349-3038",
            "fax_number": "440-349-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34305 SOLON RD",
            "address_2": "SUITE 52",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392666",
            "telephone_number": "440-349-3038",
            "fax_number": "440-349-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAVIN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0007509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "242302000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Michael Matyja, PHARMD
• Emilia Chinenye Mba, PMHNP
• Lisa M. McCurry, CRNA
• La'Nyce McElbrath
• Brandon McGann
• Patrick McGinty, DPT
• McGuire Orthodontics and Facial Orthopedics
• Robert Felix McLain, MD
• Paula Rochelle McNair
• Eva Anna Meaney, P.T.

• Clinical Social Worker in Solon, OH
• Providers in Solon, 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 Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.