Kaitlin Kennedy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023186 Issued in PA

Practice address

120 S Highland St
Lock Haven, PA 17745-2812

Phone

(570) 748-7173

NPI assigned

May 31, 2015

Sex

Female

Sole proprietor

Yes

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

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keystone Counseling and Evaluation ServicesGroup PAC ID 3274890561, 10 clinicians

Mindful Matters Counseling Group LLCGroup PAC ID 7012433220, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Keystone Counseling and Evaluation Services

  • Professional Counselor
  • Lock Haven, PA
  • NPI 1790099372

  Clinical

  Medicare reassignment Care Compare group NPD
• Mindful Matters Counseling Group LLC

  • Professional Counselor
  • Pittsburgh, PA
  • NPI 1851967251
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1235519703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BINGHAM ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S HIGHLAND ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452812",
            "telephone_number": "570-748-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Bingham St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152031101",
            "country_code": "US",
            "telephone_number": "412-383-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KAITLIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-31",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keep Safe Transportation Services
• Aileen Marie Keiper
• Keller & Munro Inc
• Victoria Ann Kellogg, PHD, CRNP, MBA
• Payton Kendall
• Keystone Central School District
• Keystone Counseling and Evaluation Services
• Keystone Gi Consultants LLC
• Keyonna Lashay Kirton
• Tiffany Allen Kisko, PA-C

• Clinical Social Worker in Lock Haven, PA
• Providers in Lock Haven, 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 Jul 15, 2024; 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.