Kayla Soohy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-21525 Issued in AZ

Practice address

1555 E Katelyn LN
Safford, AZ 85546-2166

Phone

(814) 242-6959

NPI assigned

Jun 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oceanbee Wellness, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1285405225

  Clinical

  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1255018347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E KATELYN LN",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462166",
            "telephone_number": "814-242-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E KATELYN LN",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462166",
            "telephone_number": "814-242-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOHY",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-21525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley R Smith, D.M.D., D.H.SC.
• Lynn E Smith, MD
• Mark Smith
• Matthew Lot Smith, DDS
• Rebecca Jayne Smith, FNP-C
• Southeastern Arizona Behavioral Health Services, Inc.
• Southeastern Arizona Consumer-Run Services
• Southwest Ambulance of Southeastern Arizona Inc
• Southwestern Eye Center LTD
• Southwestern Eye Center LTD

• Clinical Social Worker in Safford, AZ
• Providers in Safford, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.