KELLY MACMULLIN LISW
NPI 1427549328
Social Worker in Ravenna, OH

Q: What is Kelly Macmullin's NPI number?

The NPI number for Kelly Macmullin is 1427549328. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Kelly Macmullin's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Macmullin was last updated on June 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 25, 2018PECOS Enrolled

3922 LOVERS LN, RAVENNA, OH 44266(330) 296-3555 Get Directions Write a Review

NPPES record last updated: June 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2021, May 25, 2018 (2 updates tracked since 2018).

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About Kelly Macmullin Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MACMULLIN LISW (NPI 1427549328) is an individual social worker in Ravenna, Ohio, licensed in Ohio (I.1700661-SUPV) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427549328

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKELLY MACMULLINCredential: LISW

Location Address3922 LOVERS LNRavenna, OH 44266-4200

Mailing Address5982 Rhodes RdKent, OH 44240-8100 · (330) 637-1347 · Fax (330) 678-3677

Phone(330) 296-3555

Sole ProprietorNo

Enumeration DateMay 25, 2018

Last NPPES UpdateJune 27, 20212 updates tracked since enumeration

NPPES CertifiedJune 27, 2021

✔ NPI 1427549328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in OH · I.1700661-SUPV✔ Licensed in OH · I.1700661

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3922 LOVERS LN, Ravenna, OH 44266

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Molina Healthcare, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Macmullin Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL L. DICKIE LISW-SUPV

Social Worker (Clinical)