Mikayla Seaman Connolly, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

459 Locust St N Ste 102
Twin Falls, ID 83301-7324

Phone

(208) 944-9776

NPI assigned

Mar 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 12, 2024 through Dec 12, 2026

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1750975801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 LOCUST ST N STE 102",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017324",
            "telephone_number": "208-944-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 LOCUST ST N STE 102",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017324",
            "telephone_number": "208-944-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "MIKAYLA",
        "middle_name": "SEAMAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Hope LLC
• Community Hope LLC
• Community Hope LLC
• Community Partnerships of Idaho, Inc.
• Community Support Center, Inc.
• Kevin Connor, MS
• Christopher Michael Cook, PARAMEDIC
• Gail Rae Cook, P.A.
• Kasey Scott Cook, DO
• Autumn Coombs

• Social Worker in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.