Individual provider Active NPI

Kristen Shaylee Loomis, MSW, LICSW

  • Clinical Social Worker
  • Caldwell, WV
National Provider Identifier
1508533571
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00946292 Issued in WV
Practice address
38378 Midland TRL E Ste B
Caldwell, WV 24925-2101
Phone
(304) 520-0182
NPI assigned
Aug 26, 2021
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X BP00946292 WV
Clinical Social Worker 1041C0700X BP00946292 WV Primary

Addresses

Primary practice location

38378 Midland TRL E Ste B
Caldwell, WV 24925-2101

Mailing address

176 Medical Center Dr
Rainelle, WV 25962-1064
Phone (304) 438-6188

Other practice location 1

322 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1364
Phone (304) 520-4074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20260319003165 WV Practitioner - Clinical Social Worker 6608350426 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

173 Court St S
Lewisburg, WV 24901-2043

176 Medical Ctr Dr
Rainelle, WV 25962

217 Spotts Ridge Rd
Crawley, WV 24931-7201

8390 Champions Gate Blvd
Suite 220
Champions Gate, FL 33896-8312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00946292WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center, Inc. CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center Inc CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center Inc CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center Inc CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 7, 2026 Accepting new patients
Rainelle Medical Center Inc Past Accepting new patients
Rainelle Medical Center, Inc. Past Accepting new patients
Be Well Kinda Place LLC Clinical Past Accepting new patients

Locations

101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818

38378 Midland Trl E
Ste B
Caldwell, WV 24925
Phone (304) 520-0182

149 Goheen St
Lewisburg, WV 24901
Phone (304) 520-0182

2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

176 Medical Center Dr
Rainelle, WV 25962

458 Greenbrier St
Rupert, WV 25984
Phone (304) 632-6602

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1508533571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188",
            "fax_number": "304-521-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38378 MIDLAND TRL E STE B",
            "city": "CALDWELL",
            "state": "WV",
            "postal_code": "249252101",
            "telephone_number": "304-520-0182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Red Oaks Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Ronceverte",
            "state": "WV",
            "postal_code": "249701364",
            "country_code": "US",
            "telephone_number": "304-520-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "KRISTEN",
        "middle_name": "SHAYLEE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00946292",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00946292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, WV

Sources for this page

Verify at the official NPI Registry.