Active NPI
Kayla Marie Nolan, BSW, LSW
- Social Worker
- Lima, OH
National Provider Identifier
1609464973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2107002
- Practice address
- 658 W Market St Ste 101
Lima, OH 45801-5604 - Phone
- (419) 222-1527
- Fax
- (419) 222-3586
- NPI assigned
- Jan 4, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | S.2107002 | OH | Primary |
Addresses
Primary practice location
658 W Market St Ste 101
Lima, OH 45801-5604
Mailing address
10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2107002 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1174680557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1609464973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 ELIDA RD",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458339056",
"telephone_number": "419-695-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 W MARKET ST STE 101",
"city": "LIMA",
"state": "OH",
"postal_code": "458015604",
"telephone_number": "419-222-1527",
"fax_number": "419-222-3586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "KAYLA",
"middle_name": "MARIE",
"credential": "BSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "OH",
"license": "S.2107002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.