Doris A. Kyle, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW000402L Issued in PA

Practice address

107 Main St Unit 3
Wellsboro, PA 16901-1518

Phone

(570) 723-1005

Fax

(570) 723-1006

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1104913128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAIN ST UNIT 3",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011518",
            "telephone_number": "570-723-1005",
            "fax_number": "570-723-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN ST UNIT 3",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011518",
            "telephone_number": "570-723-1005",
            "fax_number": "570-723-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLE",
        "first_name": "DORIS",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "1727",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW000402L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Koury, PA-C
• Brooke Krall
• Ann S. Krohn, CRNP
• David Jon Krohn, PA
• Scott G Kroll, CRNP
• Tarrence Lackran
• Walter John Laibinis Jr., D.O.
• Alyssa Lapp
• Paul Latzko, MD
• Laurel Management Services

• Clinical Social Worker in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.