MRS. CARRIE A. KOZAK-HIETALA LISW - NPI 1922536283

Q: What is Carrie Kozak-hietala's NPI number?

The NPI number for Carrie Kozak-hietala is 1922536283. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Q: What is Carrie Kozak-hietala's specialty?

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

On this page

About Mrs. Carrie A. Kozak-hietala Lisw NPPES

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

MRS. CARRIE A. KOZAK-HIETALA LISW (NPI 1922536283) is an individual social worker in Lorain, Ohio, licensed in Ohio (I.2405256) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1922536283

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. CARRIE A. KOZAK-HIETALACredential: LISW

Location Address2115 WEST PARK DRIVELorain, OH 44053-1138

Mailing Address2115 West Park DriveLorain, OH 44053-1138 · (440) 989-4900 · Fax (440) 282-4779

Phone(440) 989-4900

Fax(440) 282-4779

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateMay 31, 2017

Last NPPES UpdateApril 12, 20243 updates tracked since enumeration

✔ NPI 1922536283 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.2405256✔ Licensed in OH · S0800557

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.

2115 WEST PARK DRIVE, Lorain, OH 44053

Open in Google Maps ↗

Other Identifiers 1

Medicaid0256889OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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)

Mrs. Carrie A. Kozak-hietala Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840765848

PECOS Enrollment IDI20260407003073

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 8

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

MARTIN C HALLORAN LSW

Counselor (Addiction (Substance Use Disorder))