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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-21671 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 18363 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| C011108 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K Brehm Counseling, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Brian Martin Bernard
- Peter Marcel Bertin
- Tonya Bibby
- Cheryl Elaine Boback
- Lorraine Anne Borrell
- Trudi J Brown
- Sarah Elizabeth Bucci
- Kristiana Lanae Cascino
- Church of the Brethren Home
- Catherine Comas
All providers in Windber, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.