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MARY C KOZINA LISW-S
NPI 1568869584
Social Worker in Mentor, OH

Active since November 20, 2014PECOS EnrolledAccepts Medicare Assignment
9220 MENTOR AVE, MENTOR, OH 44060(440) 639-3509(440) 352-2040 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mary C Kozina Lisw-s NPPES

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

MARY C KOZINA LISW-S (NPI 1568869584) is an individual social worker in Mentor, Ohio, licensed in Ohio (I.0009641-SUPV) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1994).

NPPES Registry Identity

NPI1568869584
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARY C KOZINACredential: LISW-S
Location Address9220 MENTOR AVEMentor, OH 44060-1612
Mailing Address9220 Mentor AveMentor, OH 44060-1612 · (440) 639-3509 · Fax (440) 352-2040
Phone(440) 639-3509
Fax(440) 352-2040
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateNovember 20, 2014
Last NPPES UpdateNovember 26, 2014
✔ NPI 1568869584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · I.0009641-SUPV
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.
9220 MENTOR AVE, Mentor, OH 44060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary C Kozina Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527969245
PECOS Enrollment IDI20040116000000
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Kozina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signature Health, Inc
4.4 mi
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999
Santore & Associates, Health And Wellness, LLC
11 mi
Psychiatric/Mental Health, Adult
8140 MAYFIELD RD STE 3
Chesterland, OH 44026
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1497237879 (440) 533-1009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHRISTINA A ANDERSON MA
Behavior Technician
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 354-9924
JANET MOTON-DJERMANI LPN
Community/Behavioral Health
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 354-9924
DUSTIN WHELDON
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
MICHELE ROBINSON
Licensed Practical Nurse
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
MATTHEW DIETZ PMHNP-BC, RN
Nurse Practitioner (Psychiatric/Mental Health)
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 255-1700
LINA IVERSON
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
GABRIELLA PARRISH
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
HANNA GRACE HOLEN
Substance Abuse Rehabilitation Facility
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 255-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kozina's NPI number?

The NPI number for Mary Kozina is 1568869584. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Where is Mary Kozina located?

Mary Kozina practices at 9220 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 639-3509.

What is Mary Kozina's specialty?

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

Is Mary Kozina enrolled in Medicare?

Yes. Mary Kozina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Kozina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kozina reassigns Medicare benefits to 2 organizations: Signature Health, Inc (Willoughby, OH) and Santore & Associates, Health And Wellness, LLC (Chesterland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Kozina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Kozina accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Mary Kozina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Kozina was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.