1. Home
  2. Directory
  3. Ohio
  4. Willoughby
  5. Social Worker
  6. NPI Profile

MS. M. LISE MOULTON L.I.S.W.
NPI 1619079886
Social Worker in Willoughby, OH

Active since September 01, 2006
5105 SOM CENTER RD, WILLOUGHBY, OH 44094(216) 621-5600(216) 479-5554 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. M. Lise Moulton L.i.s.w. NPPES

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

MS. M. LISE MOULTON L.I.S.W. (NPI 1619079886) is an individual social worker in Willoughby, Ohio, licensed in Ohio (I-0004208) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619079886
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. M. LISE MOULTONCredential: L.I.S.W.
Location Address5105 SOM CENTER RDWilloughby, OH 44094-4203
Mailing Address1001 Lakeside Ave E, #1200Cleveland, OH 44114-1158 · (216) 479-5541 · Fax (216) 479-5554
Phone(216) 621-5600
Fax(216) 479-5554
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619079886 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-0004208
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.
5105 SOM CENTER RD, Willoughby, OH 44094
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Mary Elizabeth Kern

Other Providers at the Same Location NPPES 18

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

DR. MARY GRACE PURISIMA M.D.
Internal Medicine
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (216) 524-7377
DR. JAMES SCOTT LANE M.D.
Ophthalmology
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (216) 524-7377
JULIA LYNN THOMAS
Pharmacist
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (440) 953-5711
HEALTHSPAN PHYSICIANS, LLC
Durable Medical Equipment & Medical Supplies
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (440) 953-5774
KIMBERLY ANN SVEC FNP-C
Nurse Practitioner (Family)
5105 SOM CENTER RD, # 106
WILLOUGHBY, OH 44094
Lake County (440) 953-5740
LORI A PROVENZANO
Case Manager/Care Coordinator
5105 SOM CENTER RD
WILLOUGHBY, OH 44094
Lake County (440) 975-4646
TAM PHAM MCLEAN
Family Medicine
5105 SOM CENTER RD, #106
WILLOUGHBY, OH 44094
Lake County (440) 953-5740
MRS. LAURIE L DEMETER RPH
Pharmacist
5105 SOM CENTER RD, PHARMACY
WILLOUGHBY, OH 44094
Lake County (440) 667-1077

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 M. Moulton's NPI number?

The NPI number for M. Moulton is 1619079886. It was assigned to this individual provider in the NPPES registry on September 1, 2006. The provider is also known as Ms. Mary Elizabeth Kern.

Where is M. Moulton located?

M. Moulton practices at 5105 Som Center Rd, Willoughby, OH 44094. The listed phone number is (216) 621-5600.

What is M. Moulton's specialty?

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

When was this NPI record last updated?

The NPPES record for M. Moulton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.