Individual provider Active NPI

Karen B Hull, LISW

  • Social Worker
  • Mayfield Village, OH
National Provider Identifier
1750336061
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0004099 Issued in OH
Practice address
6449 Wilson Mills Road
Mayfield Village, OH 44143
Phone
(440) 442-8800
Fax
(440) 442-8804
NPI assigned
May 24, 2006
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I0004099 OH Primary

Addresses

Primary practice location

6449 Wilson Mills Road
Mayfield Village, OH 44143

Mailing address

6449 Wilson Mills Road
Mayfield Village, OH 44143
Phone (440) 442-8800

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
I20050422001166 OH Practitioner - Clinical Social Worker 6002854676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9930 Johnnycake Ridge Rd
Suite 2D
Mentor, OH 44060-6771
Phone (440) 898-0091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0004099OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Hull, Lisw, LLC CurrentSince Oct 1, 2009 Accepting new patients
Laurelwood Associates Inc Past Accepting new patients
Psychological & Behavioral Consultants, LLC PastSince Mar 1, 2000 Accepting new patients

Locations

6449 Wilson Mills Rd
Mayfield Vlg, OH 44143
Phone (440) 442-8800

9930 Johnnycake Ridge Rd
Ste 2D
Mentor, OH 44060
Phone (440) 442-8800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1750336061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 WILSON MILLS ROAD",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-442-8800",
            "fax_number": "440-442-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 WILSON MILLS ROAD",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-442-8800",
            "fax_number": "440-442-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "KAREN",
        "middle_name": "B",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0004099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

Verify at the official NPI Registry.