KATHLEEN R MCCOY (LICDC, LISW-S) – Social Worker, NPI 1144680752

KATHLEEN R MCCOY (LICDC, LISW-S) is a healthcare provider. based in New springfield, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICDC, LISW-S. They hold a License No. I.1801250-SUPV (OH). The NPI Number for KATHLEEN R MCCOY (LICDC, LISW-S) is 1144680752

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN R MCCOY (LICDC, LISW-S)
NPI
1144680752
Phone
(234) 567-1227
Address
12921 SPRINGFIELD RD LOT 8
Enumeration Date
25 February 2016
Last Update Date
7 March 2026

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
3307970070
Graduation Year
2016 (10 years ago)
PAC ID
4385997741
Group Practice PAC ID
3779553995
Professional Enrollment ID
I20181101000298
Address ID
OH445091227YO527XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for KATHLEEN R MCCOY (LICDC, LISW-S)

  • Springfield Road, Springfield, Hancock County, Georgia, United States

    NEW SPRINGFIELD, OH 444439756

    Phone: (234) 567-1227

    Fax: (330) 424-0877

    Type: Mailing

  • 527 N MERIDIAN RD

    YOUNGSTOWN, OH 445091227

    Phone: (330) 797-0070

    Fax: (330) 797-9146

    Type: Location

  • 40722, State Route 154, Lisbon, Columbiana County, Ohio, 44432, United States

    LISBON, OH 444328500

    Phone: (330) 424-9573

    Fax: (330) 424-0877

    Type: Location

  • 850 Euclid Ave Ste 819

    Cleveland, OH 441143315

    Phone: (234) 222-2831

    Type: Location

  • 3649 CANFIELD RD

    CANFIELD, OH 444069385

    Phone: (330) 759-3040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181101000298IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44443)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779553995View full group profile
NameSpecialtyState
C H I R O P R A C T I COH
Mental Health CounselorOH
Clinical Social WorkerOH
Nurse PractitionerOH
C H I R O P R A C T I COH
Mental Health CounselorOH
-OH
-OH
Mental Health CounselorOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is KATHLEEN R MCCOY (LICDC, LISW-S) listed with a National Provider Identifier?
Yes — KATHLEEN R MCCOY (LICDC, LISW-S) has NPI 1144680752 on file in the registry.
Is there an active status for KATHLEEN R MCCOY (LICDC, LISW-S)?
For scheduling context, KATHLEEN R MCCOY (LICDC, LISW-S) is shown as active in the registry.
How would a patient describe KATHLEEN R MCCOY (LICDC, LISW-S)'s focus?
For KATHLEEN R MCCOY (LICDC, LISW-S), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHLEEN R MCCOY (LICDC, LISW-S)?
Directory geography for KATHLEEN R MCCOY (LICDC, LISW-S) centers on New Springfield, Ohio.
Does KATHLEEN R MCCOY (LICDC, LISW-S) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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