Individual provider Active NPI

Kay Lynne Moran, MSW, LCSW, CCM

  • Clinical Social Worker
  • Westover, WV
National Provider Identifier
1336290279
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CP00938927 Issued in WV
Practice address
Wellspring Family Services
827 Fairmont Rd Suite 201
Westover, WV 26501
Phone
(304) 292-1716
NPI assigned
Jan 16, 2007
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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 CP00938927 WV Primary

Addresses

Primary practice location

Wellspring Family Services
827 Fairmont Rd Suite 201
Westover, WV 26501

Mailing address

126 Marshall St
Connellsville, PA 15425
Phone (304) 365-0254

Other identifiers 1

IdentifierTypeStateIssuer
0115071000MedicaidWV

Other names 1

  • Ms. Kay Lynne Schell Former name

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
CP00938927WVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1336290279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MARSHALL ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "15425",
            "telephone_number": "304-365-0254",
            "fax_number": "304-368-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WELLSPRING FAMILY SERVICES",
            "address_2": "827 FAIRMONT RD SUITE 201",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-292-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KAY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "CP00938927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115071000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "SCHELL",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westover, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.