Kayla Connelly, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102653 Issued in OH

Practice address

17951 Jefferson Park Rd Ste 100
Middleburg Heights, OH 44130-8439

Phone

(440) 879-8517

NPI assigned

Oct 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Snitgen Former name

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, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Transformation Wellness LLCGroup PAC ID 2062889611, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Transformation Wellness LLC

  dba Stella Luna Counseling and Wellness

  • Mental Health Counselor
  • Middleburg Heights, OH
  • NPI 1033854658

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1174342323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14409 MILL HOLLOW LN",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441365425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17951 JEFFERSON PARK RD STE 100",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308439",
            "telephone_number": "440-879-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "KAYLA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-05",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "SNITGEN",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juliette Collins-Davis
• Shoneia Collins
• Bailey Comella, RN, BSN
• Community Hospitalist, LLC
• Community Intensivists, LLC
• Abigail Marie Copa, DPT
• Deborah Katherine Corbin, MS, PA-C
• Sharon Corbitt
• Linda Corlett, LAC, AP
• Martell Cornell

• Clinical Social Worker in Middleburg Heights, OH
• Providers in Middleburg Heights, 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 Oct 5, 2024; 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.