Individual provider Active NPI

Liesa Kaye, LISW-S

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1144708546
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102757 Issued in OH
Practice address
2600 Tuscarawas St W Ste 340
Canton, OH 44708-4694
Phone
(330) 493-9607
Fax
(330) 493-9609
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2102757 OH Primary
Social Worker 104100000X S1500030 OH

Addresses

Primary practice location

2600 Tuscarawas St W Ste 340
Canton, OH 44708-4694

Mailing address

2600 Tuscarawas St W Ste 340
Canton, OH 44708-4694
Phone (330) 493-9607

Other practice location 1

5553 Whipple Ave NW Ste 5
North Canton, OH 44720-7760
Phone (330) 826-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20210513001743 OH Practitioner - Clinical Social Worker 4880003375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 Tuscarawas St W
Suite 340
Canton, OH 44708-4694

PO Box
Suite 80690
Canton, OH 44708

PO Box
Suite 80690
Cannon, OH 44708-0690

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1500030OHMDSocial Worker
I.2102757OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Physician Professional Corporation CurrentSince Apr 8, 2021 Accepting new patients
Lotus Behavioral Health and Counseling Center PastSince Apr 23, 2023 Accepting new patients

Locations

2821 Woodlawn Ave NW
Canton, OH 44708
Phone (330) 479-4800

2600 Tuscarawas St W
Ste 340
Canton, OH 44708
Phone (330) 493-9607

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

Interoperability endpoints

  • Direct secure messaging: liesa.conversino@direct.aultman.org

Organizations & group practices 2

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1144708546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W STE 340",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084694",
            "telephone_number": "330-493-9607",
            "fax_number": "330-493-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W STE 340",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084694",
            "telephone_number": "330-493-9607",
            "fax_number": "330-493-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5553 Whipple Ave NW Ste 5",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "447207760",
            "country_code": "US",
            "telephone_number": "330-826-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYE",
        "first_name": "LIESA",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102757",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1500030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.