Individual provider Active NPI

Kathy L. Nail, LCSW, MAC

  • Addiction (Substance Use Disorder) Counselor
  • Bedford, PA
National Provider Identifier
1275927493
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CW018470 Issued in PA
Practice address
233 E Pitt St
Suite/Apt. 1
Bedford, PA 15522-1324
Phone
(814) 623-7370
Fax
(814) 623-7375
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018470 PA
Addiction (Substance Use Disorder) Counselor 101YA0400X CW018470 PA Primary

Addresses

Primary practice location

233 E Pitt St
Suite/Apt. 1
Bedford, PA 15522-1324

Mailing address

233 E Pitt St
Suite/Apt. 1
Bedford, PA 15522-1324
Phone (814) 623-7370

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
CW018470PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1275927493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E PITT ST",
            "address_2": "SUITE/APT. 1",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221324",
            "telephone_number": "814-623-7370",
            "fax_number": "814-623-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E PITT ST",
            "address_2": "SUITE/APT. 1",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221324",
            "telephone_number": "814-623-7370",
            "fax_number": "814-623-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIL",
        "first_name": "KATHY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018470",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "CW018470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.