Individual provider Active NPI

Kaylee Jo Hively, MSW, LISW

  • Clinical Social Worker
  • Lancaster, OH
National Provider Identifier
1073084059
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2204122 Issued in OH
Practice address
1750 Granville Pike
Lancaster, OH 43130-1041
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2204122 OH Primary

Addresses

Primary practice location

1750 Granville Pike
Lancaster, OH 43130-1041

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other identifiers 1

IdentifierTypeStateIssuer
0327913MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212003918 OH Practitioner - Clinical Social Worker 1658714142 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2204122OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Sep 22, 2025 Accepting new patients
Allwell Behavioral Health Services CurrentSince Mar 10, 2025 Accepting new patients
Brightview, LLC Current Accepting new patients
Brightview LLC CurrentSince Sep 22, 2025 Accepting new patients
Allwell Behavioral Health Services CurrentSince Mar 10, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 2, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

126 E 2nd St
Chillicothe, OH 45601
Phone (740) 773-8050

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

1750 Granville Pike
Lancaster, OH 43130
Phone (740) 653-2500

1375 Commerce Dr
New Lexington, OH 43764
Phone (740) 342-5154

2845 Bell St
Zanesville, OH 43701
Phone (614) 455-4147

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/allwell/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1073084059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 GRANVILLE PIKE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301041",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIVELY",
        "first_name": "KAYLEE",
        "middle_name": "JO",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0327913",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.