Individual provider Active NPI

Kayla Nicole Stiles, LISW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1699134114
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102719 Issued in OH
Practice address
2244 Collingwood Blvd
Toledo, OH 43620-1147
Phone
(567) 318-3891
Fax
(419) 225-8878
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.1502022 OH
Clinical Social Worker 1041C0700X I.2102719 OH Primary

Addresses

Primary practice location

2244 Collingwood Blvd
Toledo, OH 43620-1147

Mailing address

329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072

Other practice location 1

1212 Cherry St
Toledo, OH 43608-2906
Phone (419) 936-7433

Other names 1

  • Kayla Nicole Notheis Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408000590 OH Practitioner - Clinical Social Worker 9335556414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1502022OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Mar 22, 2021 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Health Partners of Western Ohio CurrentSince Mar 22, 2021 Accepting new patients
Health Partners of Western Ohio Past Accepting new patients

Locations

1018 Ralston Ave
Defiance, OH 43512
Phone (419) 567-2138

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

329 N West St
Lima, OH 45801
Phone (419) 229-6007

405 Woodville Rd
Toledo, OH 43605
Phone (419) 697-1121

222 McTigue Dr
Toledo, OH 43615
Phone (419) 442-7702

5601 Clegg Dr
Toledo, OH 43613
Phone (419) 473-8330

2244 Collingwood Blvd
Toledo, OH 43620
Phone (567) 318-3891

2010 Tremainsville Rd
Toledo, OH 43613
Phone (419) 671-3167

2400 Collingwood Blvd
Toledo, OH 43620
Phone (419) 442-7701

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1699134114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072",
            "fax_number": "419-225-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201147",
            "telephone_number": "567-318-3891",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082906",
            "country_code": "US",
            "telephone_number": "419-936-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1502022",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "NOTHEIS",
            "middle_name": "NICOLE",
            "credential": "BSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.