Active NPI
Kelly Capitini, SWT
- Social Worker
- Newark, OH
National Provider Identifier
1467113522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2309072
- Practice address
- 68 W Church St Ste 318
Newark, OH 43055-5050 - Phone
- (740) 687-0042
- NPI assigned
- Dec 31, 2021
- Last updated
- May 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2309072 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | S.2102254 | OH |
Addresses
Primary practice location
68 W Church St Ste 318
Newark, OH 43055-5050
Mailing address
780 Jonathan LN
Newark, OH 43055-1734
Phone (347) 327-0107
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Starret St
Suite 100
Lancaster, OH 43130-3993
Phone (740) 687-0042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2309072 | OH | MD | Social Worker |
| S.2102254 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Psychological Services Inc | Social Worker | Current | Accepting new patients |
| Mid-Ohio Psychological Services Inc | Social Worker | Current | Accepting new patients |
Locations
106 Starret St
Ste 100
Lancaster, OH 43130
Phone (740) 687-0042
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1467113522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 JONATHAN LN",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551734",
"telephone_number": "347-327-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 W CHURCH ST STE 318",
"city": "NEWARK",
"state": "OH",
"postal_code": "430555050",
"telephone_number": "740-687-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPITINI",
"first_name": "KELLY",
"credential": "SWT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-31",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2309072",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "S.2102254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.
- 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.