Kristin M Koliha, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0008289 Issued in OH

Practice address

27601 Westchester Pkwy
Westlake, OH 44145-1251

Phone

(866) 466-9591

Fax

(216) 712-6313

NPI assigned

Feb 16, 2011

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

Other names 1

• Kristin M Southall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1306143003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "SUITE 365",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163437",
            "telephone_number": "866-466-9591",
            "fax_number": "216-712-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27601 WESTCHESTER PKWY",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451251",
            "telephone_number": "866-466-9591",
            "fax_number": "216-712-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIHA",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SOUTHALL",
            "middle_name": "M",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Koci, MA, CCC-SLP
• Bailey Koharik, RBT
• Georgene Kohlbacher, LISW-S, CEAP,C-SWHC
• John A Kohut, DDS
• Koinonia Partners Unlimited, LLC
• Jason Jon Komitau, M.D.
• Margaret Alma Konecky, D.P.M.
• Reiley Konschak
• Robert M Konstan, M.D.
• David R Koris, D.P.M.

• Clinical Social Worker in Westlake, OH
• Providers in Westlake, 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 Aug 19, 2014; 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.