Paul Kirgis, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-10035-SUPV Issued in OH

Practice address

201 Reading Rd
Mason, OH 45040-1666

Phone

(513) 398-2551

Fax

(513) 459-7300

NPI assigned

Jun 28, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jewish Family Service of the Cincinnati Area

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blue Ash, OH
  • NPI 1144422866
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1396772802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 KINGSVIEW DRIVE",
            "address_2": "SUITE 400",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368336",
            "telephone_number": "513-228-7854",
            "fax_number": "513-228-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401666",
            "telephone_number": "513-398-2551",
            "fax_number": "513-459-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRGIS",
        "first_name": "PAUL",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-10035-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL PIN",
            "identifier": "27144789003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000388459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kings Dental Gunacar Inc
• Taylor Kinman, LPC, LPCA
• Lora Kinner
• Sarah R Kirabo, MD
• Teri J. Kirchner, R.PH.
• Michelle M Kirk
• Kaylee Kirschner
• Stephanie Paige Kisling
• Caitlin Klare, LPCC
• Natalie Renay Klingenbeck

• Clinical Social Worker in Mason, OH
• Providers in Mason, 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 Sep 15, 2011; 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.