Stormie Conklin, CDCA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

181045 Issued in OH

Practice address

215 E Main St
Newark, OH 43055-6220

Phone

(740) 899-4005

Fax

(740) 899-4023

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

Locations

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.

• Summer Bloom Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newark, OH
  • NPI 1780314542
  NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1689246738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430556220",
            "telephone_number": "740-575-5672",
            "fax_number": "740-693-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430556220",
            "telephone_number": "740-899-4005",
            "fax_number": "740-899-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "STORMIE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "181045",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "176322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433742",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus VA Ambulatory Care Center
• Community Birth Group
• Compassionate Hearts Home Health Care LLC
• Debra S. Compton, LPN
• Heather Anne Conkle
• Albert Terrence Conlisk III, DDS, MD
• Linzie M Conn, PT
• Kendra Leigh Connell, CNP
• Consumer Support Services, Inc.
• Carolann Ithica Conway

• Case Manager/Care Coordinator in Newark, OH
• Providers in Newark, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.