Kaitlin Brakeall, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW129358 Issued in PA

Practice address

255 Butler Ave Ste 300
Lancaster, PA 17601-6308

Phone

(717) 875-4528

NPI assigned

Nov 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1619308798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BUTLER AVE STE 300",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016308",
            "telephone_number": "717-875-4528",
            "fax_number": "717-560-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BUTLER AVE STE 300",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016308",
            "telephone_number": "717-875-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKEALL",
        "first_name": "KAITLIN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW129358",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Charles Bradford, D.O.
• Mark Bradle, DMD
• Stanley Bradley, PHARM. D
• Thomas George Bradley Jr., R. PH.
• Rushil Brahmbhatt
• James L Bramble, D.D.S.
• Adrienne Branch, RN
• Joseph Brandenburg
• Kristen Ann Bransby, DNP, CPNP-PC, PMHS
• Wade M Branstetter, DC

• Social Worker in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.