Individual provider Active NPI

Kristin A Hunt, LISWS

  • Clinical Social Worker
  • Westlake, OH
National Provider Identifier
1891895652
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009873-SUPV Issued in OH
Practice address
24549 Detroit Rd Ste 6
Westlake, OH 44145-2589
Phone
(216) 496-1255
Fax
(440) 734-4710
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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.0009873-SUPV OH Primary

Addresses

Primary practice location

24549 Detroit Rd Ste 6
Westlake, OH 44145-2589

Mailing address

PO Box 660
Mentor, OH 44061-0660
Phone (440) 854-0217

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
I20061117000335 OH Practitioner - Clinical Social Worker 1850399304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24549 Detroit Rd
Suite 6
Westlake, OH 44145-2589
Phone (216) 584-8701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009873-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Services, Incorporated Past Accepting new patients
Journey Clinical Psychiatry Ca PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1891895652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440610660",
            "telephone_number": "440-854-0217",
            "fax_number": "440-516-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24549 DETROIT RD STE 6",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452589",
            "telephone_number": "216-496-1255",
            "fax_number": "440-734-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LISWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009873-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.