Individual provider Active NPI

Carolyn Paulus, LSW, LCDC III

  • Social Worker
  • Tiffin, OH
National Provider Identifier
1982120804
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0027371 Issued in OH
Practice address
65 Saint Francis Ave
Tiffin, OH 44883-3413
Phone
(567) 220-7018
Fax
(567) 220-7012
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 161014 OH
Social Worker 104100000X S.0027371 OH Primary

Addresses

Primary practice location

65 Saint Francis Ave
Tiffin, OH 44883-3413

Mailing address

885 E Buchtel Ave
Akron, OH 44305-2338
Phone (567) 220-7018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
161014OHMDAddiction (Substance Use Disorder) Counselor
S.0027371OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oriana House, Inc. Addiction (Substance Use Disorder) PastSince Dec 24, 2023 Accepting new patients
Oriana House, Inc. PastSince Dec 24, 2023 Accepting new patients

Organizations & group practices 2

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1982120804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 E BUCHTEL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052338",
            "telephone_number": "567-220-7018",
            "fax_number": "567-220-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SAINT FRANCIS AVE",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833413",
            "telephone_number": "567-220-7018",
            "fax_number": "567-220-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "LSW, LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161014",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0027371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.