Individual provider Active NPI

Kaytlyn C Lanning, MSW

  • Clinical Social Worker
  • Wheeling, WV
National Provider Identifier
1679043160
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1802716 Issued in OH
Practice address
1025 Main St Ste 502
Wheeling, WV 26003-2726
Phone
(304) 233-2020
Fax
(304) 233-0858
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 S.1802716 OH Primary

Addresses

Primary practice location

1025 Main St Ste 502
Wheeling, WV 26003-2726

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 233-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: No
  • 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
I20221205001381 WV Practitioner - Clinical Social Worker 2668841248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1802716OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Professional Counseling CurrentSince Nov 1, 2022 Accepting new patients

Locations

54 E Cove Ave
Wheeling, WV 26003

1025 Main St
Ste 502
Wheeling, WV 26003
Phone (304) 233-2020

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1679043160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-233-2020",
            "fax_number": "304-233-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAIN ST STE 502",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032726",
            "telephone_number": "304-233-2020",
            "fax_number": "304-233-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNING",
        "first_name": "KAYTLYN",
        "middle_name": "C",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1802716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.