Active NPI
Kayla Whiteside
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1992285209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S1600227
- Practice address
- 311 East 45TH Place
Suite 212
Cleveland, OH 44127 - Phone
- (216) 341-5510
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S1600227 | OH | Primary |
Addresses
Primary practice location
311 East 45TH Place
Suite 212
Cleveland, OH 44127
Mailing address
8562 Doll Dr
Garfield HTS, OH 44125-2047
Phone (216) 577-9976
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 |
|---|---|---|---|
| S1600227 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1992285209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8562 DOLL DR",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441252047",
"telephone_number": "216-577-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 EAST 45TH PLACE",
"address_2": "SUITE 212",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44127",
"telephone_number": "216-341-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S1600227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.