Individual provider Active NPI

Kayla Salomone, LISW-S

  • Clinical Social Worker
  • Hinsdale, IL
National Provider Identifier
1144712142
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203948SUPV Issued in OH
Practice address
907 N Elm St Ste 300
Hinsdale, IL 60521-3645
Phone
(630) 686-4544
Fax
(630) 686-4536
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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.2203948SUPV OH Primary

Addresses

Primary practice location

907 N Elm St Ste 300
Hinsdale, IL 60521-3645

Mailing address

7519 Mentor Ave Ste 114
Mentor, OH 44060-5410
Phone (440) 701-6170

Other practice location 1

7519 Mentor Ave Ste 114
Mentor, OH 44060-5410
Phone (440) 701-6170

Other identifiers 1

IdentifierTypeStateIssuer
0054274MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2203948SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling and Wellness LLC PastSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1144712142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 MENTOR AVE STE 114",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605410",
            "telephone_number": "440-701-6170",
            "fax_number": "440-527-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N ELM ST STE 300",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213645",
            "telephone_number": "630-686-4544",
            "fax_number": "630-686-4536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7519 Mentor Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440605410",
            "country_code": "US",
            "telephone_number": "440-701-6170",
            "fax_number": "440-527-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALOMONE",
        "first_name": "KAYLA",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203948SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.