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

Q: 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.

Q: What is Lillian Pruitt'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 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.

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: August 16, 2026.

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

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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.

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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Other Identifiers 1

Medicaid0417503OH

Medicare Participation & PECOS CMS

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

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.

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