Active NPI
Kacie Householder
- Clinical Social Worker
- Struthers, OH
National Provider Identifier
1528455524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.1303313
- Practice address
- 520 Youngstown Poland Rd
Struthers, OH 44471-1103 - Phone
- (330) 318-3078
- NPI assigned
- Apr 17, 2015
- Last updated
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.1303313 | OH | Primary |
Addresses
Primary practice location
520 Youngstown Poland Rd
Struthers, OH 44471-1103
Mailing address
775 Althea Ave NW
Warren, OH 44483-2235
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.06 of 100
- Quality
- 90.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1303313 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Community Services Inc | Current | Accepting new patients | |
| Family & Community Services, Inc | Current | Accepting new patients |
Locations
150 E Market St
Warren, OH 44481
Phone (330) 394-6244
Organizations & group practices 3
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.
-
dba Psych360
- Psychiatric/Mental Health Nurse Practitioner
- Cleveland, OH
- NPI 1093191322
-
dba Valley Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warren, OH
- NPI 1750607057
-
- Addiction (Substance Use Disorder) Counselor
- Kent, OH
- NPI 1952662108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1528455524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 ALTHEA AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444832235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 YOUNGSTOWN POLAND RD",
"city": "STRUTHERS",
"state": "OH",
"postal_code": "444711103",
"telephone_number": "330-318-3078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSEHOLDER",
"first_name": "KACIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-17",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.1303313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Struthers, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.