Individual provider Active NPI

Kayla M Morgan, LISW

  • Clinical Social Worker
  • Canfield, OH
National Provider Identifier
1083067334
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002060 Issued in OH
Practice address
3685 Stutz Dr Ste 101
Canfield, OH 44406-9155
Phone
(330) 729-9514
Fax
(330) 729-9591
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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.2002060 OH Primary

Addresses

Primary practice location

3685 Stutz Dr Ste 101
Canfield, OH 44406-9155

Mailing address

3685 Stutz Dr Ste 101
Canfield, OH 44406-9155
Phone (330) 729-9514

Other practice location 1

3685 Stutz Dr Ste 101
Canfield, OH 44406-9155
Phone (330) 729-1967

Other practice location 2

1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-2616

Other identifiers 1

IdentifierTypeStateIssuer
0283973MedicaidOH

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
I20201120001856 OH Practitioner - Clinical Social Worker 4082025184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-3195

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Dec 7, 2020 Accepting new patients
Mercy Health Physicians Youngstown, LLC CurrentSince Dec 7, 2020 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Cadence Care Network PastSince Jul 31, 2021 Accepting new patients

Locations

3685 Stutz Dr
Ste 101
Canfield, OH 44406
Phone (330) 259-0440

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1001 Covington St
Youngstown, OH 44510
Phone (330) 480-2616

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1083067334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 STUTZ DR STE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069155",
            "telephone_number": "330-729-9514",
            "fax_number": "330-729-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 STUTZ DR STE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069155",
            "telephone_number": "330-729-9514",
            "fax_number": "330-729-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3685 Stutz Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069155",
            "country_code": "US",
            "telephone_number": "330-729-1967",
            "fax_number": "330-729-2409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Covington St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445101617",
            "country_code": "US",
            "telephone_number": "330-480-2616",
            "fax_number": "330-480-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283973",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.