Kathleen R McCoy, LICDC, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801250-SUPV Issued in OH

Practice address

3649 Canfield Rd
Canfield, OH 44406-9385

Phone

(330) 759-3040

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Social Worker

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Churchill Counseling Services, Inc.Group PAC ID 3779532262, 17 clinicians

Meridian HealthcareGroup PAC ID 3779553995, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Meridian Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Youngstown, OH
  • NPI 1356307235

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Churchill Counseling Services, Inc

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1013996271
  Medicare reassignment Care Compare group
• Columbiana County Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lisbon, OH
  • NPI 1508827932
  Medicare reassignment NPD
• Meridian Healthcare

  • Primary Care Clinic/Center
  • Youngstown, OH
  • NPI 1225455082
  NPD
• Meridian Healthcare

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1841164365
  NPD
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1538353883
  NPD (past)

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1144680752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069385",
            "telephone_number": "330-759-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Euclid Ave Ste 819",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441143315",
            "country_code": "US",
            "telephone_number": "234-222-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "credential": "LICDC, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801250-SUPV",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Maxwell, CRNP
• Melissa McAllister
• Keith McBride
• Lawrence Edward McCall, DDS
• Kaitlin McCarthy, PT, DPT
• Alanna Erin McEntire, D.C.
• Nancy M McNeal, LPN
• Daniel McQuillen, PT
• Medically Fit
• Megan Meek, MS, RD, LD

• Clinical Social Worker in Canfield, OH
• Providers in Canfield, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.