Kayla Jean Brehm, LCSW, LCAS

Individual provider Active NPI Clinical Social Worker · Windber, PA

NPI 1053780932 · NPPES record last updated Jun 22, 2023

Key facts

NPI
1053780932
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C011108 (NC)
Practice address
1213 Main St
Windber, PA 15963-2359
Phone
(814) 242-3013
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LCAS-21671NCMDAddiction (Substance Use Disorder) Counselor
18363PAMDAddiction (Substance Use Disorder) Counselor
C011108NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
K Brehm Counseling, LLC Current
since Jun 25, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-21671 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 18363 PA
Clinical Social Worker 1041C0700X C011108 NC Yes

Addresses

Primary practice location

1213 Main St
Windber, PA 15963-2359

Mailing address

1213 Main St
Windber, PA 15963-2359
Phone (814) 242-3013

Other providers in Windber, PA

All providers in Windber, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.