Kayla M Stallard, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S 1500007 Issued in OH

Practice address

2173 N Ridge Rd E
Lorain, OH 44055-3400

Phone

(440) 260-8300

NPI assigned

May 9, 2016

Last updated

Jan 2, 2020By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1295096758
  NPD (past)

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1427404425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 EASTLAND RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171217",
            "telephone_number": "440-234-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 N RIDGE RD E",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553400",
            "telephone_number": "440-260-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLARD",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S 1500007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "S 1500007",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sprenger Hospice, Inc.
• Jessica Ryan Springer, CNP
• Yvonne Sproule, RN
• Michelle Angelique St. Clair
• Sara Nadine Stagles, LSW
• Melissa Stallings, MSN, RN, CPNP
• Marisa Anne Stanley
• Nicole Stanley, CDCA QMHSBA CMS BA
• Sonja L Starks
• Shawnese Starr

• Social Worker in Lorain, OH
• Providers in Lorain, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.