Individual provider Active NPI

Mary Kathryn Lawson, L.I.S.W.

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1881706448
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0005093 Issued in OH
Practice address
20575 Center Ridge Rd
Ste 314
Rocky River, OH 44116-3422
Phone
(440) 331-4533
Fax
(440) 331-5244
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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-0005093 OH Primary

Addresses

Primary practice location

20575 Center Ridge Rd
Ste 314
Rocky River, OH 44116-3422

Mailing address

20575 Center Ridge Rd
Ste 314
Rocky River, OH 44116-3422
Phone (440) 331-4533

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
I20120103000345 OH Practitioner - Clinical Social Worker 0042486615 Practice locations: Rocky River, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20575 Ctr Ridge Rd
Suite 314
Rocky River, OH 44116-3422
Phone (440) 331-4533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0005093OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marie Bielefeld PHD Associates Inc PastSince Nov 9, 2021 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1881706448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE RD",
            "address_2": "STE 314",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163422",
            "telephone_number": "440-331-4533",
            "fax_number": "440-331-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE RD",
            "address_2": "STE 314",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163422",
            "telephone_number": "440-331-4533",
            "fax_number": "440-331-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0005093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.