Kelly Macmullin, LISW
NPI 1427549328ActiveIndividual· Social Worker· Ravenna, OH
Social Worker (LISW) in Ravenna, Ohio, licensed in OH, with an NPI issued in May 2018. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1427549328 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | No |
| NPI issued | May 25, 2018 |
| Last updated in NPPES | Jun 27, 2021 |
| Certified by provider | Jun 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | I.1700661-SUPV | OH |
| Social Worker | 104100000X | I.1700661 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|
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