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LILLIAN RAE PRUITT LSW
NPI 1861006702
Social Worker in Medina, OH

Active since September 08, 2020PECOS Enrolled
246 NORTHLAND DR STE 200A, MEDINA, OH 44256(330) 725-9195 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2023, Sep 8, 2020 (2 updates tracked since 2020).

About Lillian Rae Pruitt Lsw NPPES

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

LILLIAN RAE PRUITT LSW (NPI 1861006702) is an individual social worker in Medina, Ohio, licensed in Ohio (S.2107032) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1861006702
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLILLIAN RAE PRUITTCredential: LSW
Location Address246 NORTHLAND DR STE 200AMedina, OH 44256-3440
Mailing Address246 Northland Dr Ste 200aMedina, OH 44256-3440 · (330) 725-9195
Phone(330) 725-9195
Sole ProprietorYes
Enumeration DateSeptember 8, 2020
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1861006702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · S.2107032
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedCase ManagementTaxonomy 251B00000X · License S.2107032 (OH)
246 NORTHLAND DR STE 200A, Medina, OH 44256
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Secondary Practice Location 1

Location 13500 Carnegie AveCleveland, OH 44115-2641 · Phone (440) 260-8300

Other Identifiers 1

Medicaid0417503OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillian Rae Pruitt Lsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Lillian Pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alternative Paths Inc.
Same address
Community/Behavioral Health
246 NORTHLAND DR, SUITE 200A
Medina, OH 44256
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
NPI 1194790311 (330) 725-9195

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.

EMILY HERRICK
Case Manager/Care Coordinator
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
SAVANAH BORCUCH LSW
Social Worker
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MELINDA ANNE SILLIMAN QMHS
Behavior Analyst
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MR. PHILIP BRADLEY LONDRICO CDCA
Counselor (Addiction (Substance Use Disorder))
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
LOIS WILLIAMS HART MSN,CNS
Registered Nurse (Psychiatric/Mental Health)
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
JASMINE MYERS
Social Worker
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
SHATAYLA CASONDA WATKINS QMHS
Behavior Analyst
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MRS. JEANETTE INEZ PYCRAFT LISW
Social Worker (Clinical)
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195

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 Lillian Pruitt's NPI number?

The NPI number for Lillian Pruitt is 1861006702. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Lillian Pruitt located?

Lillian Pruitt practices at 246 Northland Dr Ste 200A, Medina, OH 44256. The listed phone number is (330) 725-9195.

What is Lillian Pruitt's specialty?

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

Is Lillian Pruitt enrolled in Medicare?

Yes. Lillian Pruitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lillian Pruitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Pruitt reassigns Medicare benefits to Alternative Paths Inc. (Medina, OH). The 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 Lillian Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lillian Pruitt was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.