KATHLEEN BALCERZAK (LISW) – Clinical Social Worker, NPI 1558387514

KATHLEEN BALCERZAK (LISW) is a healthcare provider. based in Mentor, Ohio. specializing in Clinical Social Worker. They hold the professional credentials LISW. They hold a License No. I.0000774 (OH). The NPI Number for KATHLEEN BALCERZAK (LISW) is 1558387514

Main info

Female
Sole Proprietor
58 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN BALCERZAK (LISW)
NPI
1558387514
Phone
(440) 854-0217
Address
PO BOX 660
Enumeration Date
14 July 2006
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2166627222
Graduation Year
1968 (58 years ago)
PAC ID
7810978764
Professional Enrollment ID
I20040526001050
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KATHLEEN BALCERZAK (LISW)

  • PO BOX 660

    MENTOR, OH 440610660

    Phone: (440) 854-0217

    Fax: (440) 516-3783

    Type: Mailing

  • 800 WOODBRIDGE TRL

    SAGAMORE HILLS, OH 440672591

    Phone: (216) 662-7222

    Type: Location

  • 12000, McCracken Road, Garfield Heights, Cuyahoga County, Ohio, 44125, United States

    SUITE 219

    GARFIELD HEIGHTS, OH 441252964

    Phone: (216) 970-5404

    Fax: (216) 662-8085

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040526001050IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour18022$0
View full utilization report →

Insurance plans in this area (ZIP 44061)

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Reviews

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Frequently asked questions

How do I look up KATHLEEN BALCERZAK (LISW) by NPI?
Use NPI 1558387514 when you need to reference KATHLEEN BALCERZAK (LISW) in forms, claims, or directories.
Is KATHLEEN BALCERZAK (LISW) active in the national directory?
KATHLEEN BALCERZAK (LISW)'s public NPI profile is in an active state.
What kind of provider is KATHLEEN BALCERZAK (LISW)?
The page reflects Clinical Social Worker for KATHLEEN BALCERZAK (LISW). Clinical services aligned with this taxonomy classification.
What location shows for KATHLEEN BALCERZAK (LISW)?
We surface Mentor, Ohio for KATHLEEN BALCERZAK (LISW) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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