Individual provider Active NPI

Joel Daniel Kightlinger, MSW

  • Social Worker
  • Meadville, PA
National Provider Identifier
1134359136
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW124758 Issued in PA
Practice address
13180 Leslie Rd Ste 2
Meadville, PA 16335-8478
Phone
(814) 337-6180
NPI assigned
Jul 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW124758 PA Primary

Addresses

Primary practice location

13180 Leslie Rd Ste 2
Meadville, PA 16335-8478

Mailing address

622 1/2 Cutler St
Meadville, PA 16335-1912
Phone (814) 853-9096

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW124758PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy House of Meadville, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1134359136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 1/2 CUTLER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351912",
            "telephone_number": "814-853-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 LESLIE RD STE 2",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358478",
            "telephone_number": "814-337-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGHTLINGER",
        "first_name": "JOEL",
        "middle_name": "DANIEL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.