Individual provider Active NPI

Ann Fitzsimons Hull, LISW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1275638249
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0004450 Issued in OH
Practice address
3681 Green Rd Ste 406
Beachwood, OH 44122-5716
Phone
(216) 407-6278
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X I.0004450 OH Primary

Addresses

Primary practice location

3681 Green Rd Ste 406
Beachwood, OH 44122-5716

Mailing address

3681 Green Rd Ste 406
Beachwood, OH 44122-5716
Phone (216) 407-6278

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
I20060202000123 OH Practitioner - Clinical Social Worker 7214941145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hull Institute LLCGroup PAC ID 4688688518, 8 clinicians

Practice addresses (Care Compare)

23215 Commerce Park
205B
Beachwood, OH 44122-5851
Phone (216) 407-6278

3681 Green Rd
Suite 406
Beachwood, OH 44122-5716
Phone (216) 407-6278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Institute, LLC Clinical CurrentSince Nov 8, 2003 Accepting new patients
The Miller Center Clinical Current Accepting new patients

Locations

3681 Green Rd
Ste 406
Beachwood, OH 44122
Phone (216) 407-6278

23215 Commerce Park
Ste 205B
Beachwood, OH 44122
Phone (216) 407-6278

20545 Center Ridge Rd
Ste 400
Rocky River, OH 44116
Phone (216) 407-6278

15300 Pearl Rd
Ste 120
Strongsville, OH 44136
Phone (216) 407-6278

Organizations & group practices 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1275638249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 GREEN RD STE 406",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225716",
            "telephone_number": "216-407-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 GREEN RD STE 406",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225716",
            "telephone_number": "216-407-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "ANN",
        "middle_name": "FITZSIMONS",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0004450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.