MR. HENRY A MAZUR (LISW CCDC IIIE) – Social Worker, NPI 1487636528

MR. HENRY A MAZUR (LISW CCDC IIIE) is a healthcare provider. based in Cleveland, Ohio. specializing in Social Worker. They hold the professional credentials LISW CCDC IIIE. They hold a License No. I0004140 (OH). The NPI Number for MR. HENRY A MAZUR (LISW CCDC IIIE) is 1487636528

Main info

Male
Name
MR. HENRY A MAZUR (LISW CCDC IIIE)
NPI
1487636528
Phone
(216) 839-2273
Address
PO BOX 24242
Enumeration Date
15 November 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. HENRY A MAZUR (LISW CCDC IIIE)

  • Box, Cleveland County, Oklahoma, United States

    CLEVELAND, OH 441240242

    Phone: (216) 839-2273

    Fax: (216) 896-0735

    Type: Mailing

  • Chagrin Boulevard, Pepper Pike, Cuyahoga County, Ohio, United States

    SUITE 260

    PEPPER PIKE, OH 441224642

    Phone: (216) 839-2273

    Fax: (216) 896-0735

    Type: Location

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: 2014-05-29

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
I20140529002325IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44124)

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Reviews

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Frequently asked questions

What federal number belongs to MR. HENRY A MAZUR (LISW CCDC IIIE)?
The federal identifier for MR. HENRY A MAZUR (LISW CCDC IIIE) is NPI 1487636528.
Does this profile mean MR. HENRY A MAZUR (LISW CCDC IIIE) is currently active?
Yes — MR. HENRY A MAZUR (LISW CCDC IIIE) appears active in the national provider directory.
What field does MR. HENRY A MAZUR (LISW CCDC IIIE) work in?
You can think of MR. HENRY A MAZUR (LISW CCDC IIIE) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
Where is MR. HENRY A MAZUR (LISW CCDC IIIE)'s primary listing?
We display Cleveland, Ohio because that is what the record indicates for MR. HENRY A MAZUR (LISW CCDC IIIE).
Is MR. HENRY A MAZUR (LISW CCDC IIIE) a real provider?
This page reflects official NPPES data for NPI 1487636528. Always confirm identity and privileges with the practice and licensing boards.

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