Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Carrie A. Kozak-Hietala, LISW

Individual provider Social Worker · NPI 1922536283

Mrs. Carrie A. Kozak-Hietala, LISW is a Mental Health Counselor in Lorain, Ohio. Qualified in 2008, 18 years ago. Practices with Avenues of Counseling and Mediation, a 27-clinician group. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

2115 W Park Dr
Lorain, OH 44053-1138
Phone: (440) 989-4900
Fax: (440) 282-4779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I.2405256 (OH)
Social Worker Taxonomy 104100000X · Licence S0800557 (OH)

Record details

NPI number1922536283
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedMay 31, 2017
Last updated in NPPESApril 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Avenues Of Counseling And Mediation — 27 clinicians
Accepts Medicare assignment Not indicated

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