Individual provider Active NPI

Kayla Carter Loudy, LCSW

  • Clinical Social Worker
  • Cedar Bluff, VA
National Provider Identifier
1366700809
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007903 Issued in VA
Practice address
196 Cumberland Road
Cedar Bluff, VA 24609-0810
Phone
(276) 964-6702
Fax
(276) 964-0292
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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 0904007903 VA Primary

Addresses

Primary practice location

196 Cumberland Road
Cedar Bluff, VA 24609-0810

Mailing address

196 Cumberland Road
PO Box 810
Cedar Bluff, VA 24609-0810
Phone (276) 964-6702

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
0904007903VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Mountain Community Services PastSince May 14, 2016 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1366700809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CUMBERLAND ROAD",
            "address_2": "PO BOX 810",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090810",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CUMBERLAND ROAD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090810",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDY",
        "first_name": "KAYLA",
        "middle_name": "CARTER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Bluff, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.