Kaycie Churchill

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2106565 Issued in OH

Practice address

7130 Root Rd
North Ridgeville, OH 44039-3010

Phone

(440) 865-8999

NPI assigned

Mar 2, 2021

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Ohio Health and Wellness LLCGroup PAC ID 0042675456, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Northern Ohio Health and Wellness LLC

  • Social Worker
  • Strongsville, OH
  • NPI 1073223301
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1144815184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 MAPLECREST AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343623",
            "telephone_number": "440-865-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 ROOT RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393010",
            "telephone_number": "440-865-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "KAYCIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106565",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center Ridge Health Campus (Center Ridge - Laboratory)
• Center Ridge Nursing Home, Inc. (Center Ridge Health Campus)
• Douglas Michael Charboneau, D.C.
• Mundeep Chaudhry, MD
• Ibrahim Chkhaidze
• James P Cicero, OCCUPATIONAL THERAPI
• City of North Ridgeville
• Anna Lisa Clark, LISW, LICDC
• Kimberley M Clough
• Conversations for Change Counseling Services, Inc. (Conversations for Change Counseling Services)

• Social Worker in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.