Individual provider Active NPI

Kayla Ann Craig, LISW

  • Clinical Social Worker
  • Stow, OH
National Provider Identifier
1770083818
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002240 Issued in OH
Practice address
4161 Bridgewater Pkwy
Stow, OH 44224-6191
Phone
(330) 865-4644
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1600550 OH
Clinical Social Worker 1041C0700X I.2002240 OH Primary

Addresses

Primary practice location

4161 Bridgewater Pkwy
Stow, OH 44224-6191

Mailing address

4161 Bridgewater Pkwy
Stow, OH 44224-6191
Phone (330) 865-4644

Other practice location 1

525 E Market St
Akron, OH 44304-1619
Phone (330) 379-0667

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
I20200903002527 OH Practitioner - Clinical Social Worker 8729405816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619
Phone (330) 379-0667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1600550OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan M.D. & Assoc., Inc. CurrentSince Jul 15, 2020 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Jul 15, 2020 Accepting new patients
Coleman Professional Services, Inc. Social Worker CurrentSince Apr 26, 2021 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1815 W Market St
Ste 301
Akron, OH 44313

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

4161 Bridgewater Pkwy
Stow, OH 44224
Phone (330) 865-4644

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1770083818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 BRIDGEWATER PKWY",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246191",
            "telephone_number": "330-865-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 BRIDGEWATER PKWY",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246191",
            "telephone_number": "330-865-4644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041619",
            "country_code": "US",
            "telephone_number": "330-379-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600550",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.