Individual provider Active NPI

Kayla D. Pivik, PCSW

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1679197362
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PCSW-900 Issued in WY
Practice address
1430 Wilkins Cir
Casper, WY 82601-1336
Phone
(307) 253-7898
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X PCSW-900 WY Primary

Addresses

Primary practice location

1430 Wilkins Cir
Casper, WY 82601-1336

Mailing address

1430 Wilkins Cir
Casper, WY 82601-1336
Phone (307) 253-7898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20240611002009 WY Practitioner - Clinical Social Worker 6002358686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wyoming Counseling CenterGroup PAC ID 7416270939, 20 clinicians

Practice addresses (Care Compare)

1430 Wilkins Cir
Casper, WY 82601-1336
Phone (307) 237-9583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCSW-900WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wyoming Counseling Center Single Specialty CurrentSince Apr 20, 2024 Accepting new patients
Central Wyoming Counseling Center CurrentSince Apr 20, 2024 Accepting new patients

Locations

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

Organizations & group practices 2

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1679197362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011336",
            "telephone_number": "307-253-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011336",
            "telephone_number": "307-253-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVIK",
        "first_name": "KAYLA",
        "middle_name": "D.",
        "credential": "PCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.