Shayla Kiczenski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022878 Issued in PA

Practice address

75 E Maiden St
Washington, PA 15301-4963

Phone

(724) 228-2200

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dawn Marie Friend Psy D LLCGroup PAC ID 6608010269, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dawn Marie Friend, PSYD, LLC

  • Clinical Psychologist
  • South Park, PA
  • NPI 1851733810
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1174247746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E MAIDEN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014963",
            "telephone_number": "724-228-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E MAIDEN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014963",
            "telephone_number": "724-228-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICZENSKI",
        "first_name": "SHAYLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Family Chiropractic LLC
• Keystone Medlink Inc
• Keystone Pain Consultants & Interventional Spine Specialists PC
• Keystone Rehabilitation Systems Inc
• Dolores Cherry Khalouf, P.T.
• Ashley Nicole Kidd, DMD
• Olivia R King, PA-C
• Michelle Kirshen, MD
• Mallory Kist, DMD
• Dennis Kitsko, D.O.

• Clinical Social Worker in Washington, PA
• Providers in Washington, 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 Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.