Individual provider Active NPI

Kali Purnell, LISW

  • Clinical Social Worker
  • East Liverpool, OH
National Provider Identifier
1679056261
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405845 Issued in OH
Practice address
45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728
Phone
(234) 254-5656
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2106251 OH
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X I.2405845 OH Primary

Addresses

Primary practice location

45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728

Mailing address

45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728
Phone (234) 254-5656

Other practice location 1

150 Cross St
Akron, OH 44311-1026
Phone (330) 996-9141

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
I20241021004184 OH Practitioner - Clinical Social Worker 2668904269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2106251OHMDSocial Worker
I.2405845OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Clinical Counseling and Wellness CurrentSince Sep 16, 2024 Accepting new patients

Locations

970 Windham Ct
Ste 6B
Boardman, OH 44512
Phone (330) 286-1940

45875 Bell School Rd
Ste B
East Liverpool, OH 43920
Phone (234) 254-5656

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1679056261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45875 BELL SCHOOL RD STE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208728",
            "telephone_number": "234-254-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45875 BELL SCHOOL RD STE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208728",
            "telephone_number": "234-254-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Cross St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443111026",
            "country_code": "US",
            "telephone_number": "330-996-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "KALI",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106251",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.