Individual provider Active NPI

Kayla Ann Schubert-Wirth, MSW, LCSCW

  • Clinical Social Worker
  • Fountain Hill, PA
National Provider Identifier
1174043194
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021518 Issued in PA
Practice address
15 Warren St
Fountain Hill, PA 18015-4441
Phone
(610) 216-9598
NPI assigned
Jun 21, 2017
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW021518 PA Primary

Addresses

Primary practice location

15 Warren St
Fountain Hill, PA 18015-4441

Mailing address

15 Warren St
Fountain Hill, PA 18015-4441
Phone (610) 216-9598

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
CW021518PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grit & Grace Psychotherapy CurrentSince Jan 26, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1174043194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WARREN ST",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154441",
            "telephone_number": "610-216-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WARREN ST",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154441",
            "telephone_number": "610-216-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBERT-WIRTH",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "credential": "MSW, LCSCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.