KATRINA CONNELL (LISW) – Clinical Social Worker, NPI 1346728714
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KATRINA CONNELL (LISW)
421 TOWNSHIP ROAD 15
RAYLAND, OH 439437886
Phone: (740) 219-9045
Type: Mailing
255, Main Street, St. Clairsville, East St. Clair Township, Bedford County, Pennsylvania, 16667, United States
ST. CLAIRSVILLE, OH 43950
Phone: (740) 695-9447
Fax: (740) 695-8895
Type: Location
5563 FAR HILLS AVE
DAYTON, OH 454292225
Phone: (937) 291-2300
Fax: (937) 291-2303
Type: Location
9403 Kenwood Rd Ste A130
Blue Ash, OH 452426880
Phone: (513) 543-6600
Fax: (513) 745-0037
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: 2024-01-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240119003939 | I | Clinical Social Worker | OH | TBD |
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.
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 43943)
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