Individual provider Active NPI

Mary K Lawrence, LISW-S

  • Clinical Social Worker
  • Cleveland Heights, OH
National Provider Identifier
1457046161
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304596 Issued in OH
Practice address
3170 Essex Rd
Cleveland Heights, OH 44118-3538
Phone
(330) 274-4118
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2304596 OH Primary

Addresses

Primary practice location

3170 Essex Rd
Cleveland Heights, OH 44118-3538

Mailing address

PO Box 18126
Cleveland Heights, OH 44118-0126

Other practice location 1

2061 Cornell Rd
Cleveland, OH 44106-3808
Phone (216) 844-7224

Other identifiers 1

IdentifierTypeStateIssuer
0114220MedicaidOH

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
I20250515000415 OH Practitioner - Clinical Social Worker 9638697576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304596OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthside Counseling LLC Clinical CurrentSince Apr 10, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1457046161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18126",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441180126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 ESSEX RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183538",
            "telephone_number": "330-274-4118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2061 Cornell Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441063808",
            "country_code": "US",
            "telephone_number": "216-844-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114220",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.