Active NPI
Leslie M Markulin, LISW-S
- Clinical Social Worker
- Struthers, OH
National Provider Identifier
1609269240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0600056-SUPV
- Practice address
- 520 Youngstown Poland Rd
Struthers, OH 44471-1103 - Phone
- (330) 318-3078
- NPI assigned
- Mar 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0600056-SUPV | OH | Primary |
Addresses
Primary practice location
520 Youngstown Poland Rd
Struthers, OH 44471-1103
Mailing address
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070
Other practice location 1
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0600056-SUPV | OH | MD | Clinical Social Worker |
Interoperability endpoints
- leslie.markulin.p1@direct.oho.nextgenshare.com
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.
-
- Psychiatry Physician
- Youngstown, OH
- NPI 1760977177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1609269240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 N MERIDIAN RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445091227",
"telephone_number": "330-797-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 YOUNGSTOWN POLAND RD",
"city": "STRUTHERS",
"state": "OH",
"postal_code": "444711103",
"telephone_number": "330-318-3078"
}
],
"practiceLocations": [
{
"address_1": "527 N Meridian Rd",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445091227",
"country_code": "US",
"telephone_number": "330-797-0070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARKULIN",
"first_name": "LESLIE",
"middle_name": "M",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0600056-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Struthers, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.