Individual provider Active NPI

Kayli Louise Metheney, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1376200105
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025601 Issued in PA
Practice address
5840 Ellsworth Ave
Pittsburgh, PA 15232-1712
Phone
(412) 921-3908
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW039055 PA
Clinical Social Worker 1041C0700X CW025601 PA Primary

Addresses

Primary practice location

5840 Ellsworth Ave
Pittsburgh, PA 15232-1712

Mailing address

3846 Lawnview Ave
Pittsburgh, PA 15227-3238
Phone (814) 952-0181

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250625000078 PA Practitioner - Clinical Social Worker 4284146309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW039055PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Apr 11, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 11, 2025 Accepting new patients

Locations

5840 Ellsworth Ave
Ste 104
Pittsburgh, PA 15232
Phone (412) 628-1326

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Interoperability endpoints

  • Direct secure messaging: kayli.meier.1@28623.direct.athenahealth.com

Organizations & group practices 3

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1376200105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 LAWNVIEW AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273238",
            "telephone_number": "814-952-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 ELLSWORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321712",
            "telephone_number": "412-921-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHENEY",
        "first_name": "KAYLI",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW039055",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.