Individual provider Active NPI

Kaysha Renae Lautenschlager, LICSW

  • Clinical Social Worker
  • Pullman, WA
National Provider Identifier
1689235251
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61380817 Issued in WA
Practice address
915 NE Valley Rd
Pullman, WA 99163-3845
Phone
(509) 332-3548
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LW61380817 WA Primary

Addresses

Primary practice location

915 NE Valley Rd
Pullman, WA 99163-3845

Mailing address

915 NE Valley Rd
Pullman, WA 99163-3845
Phone (509) 332-3548

Other names 1

  • Kaysha Renae Lyman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240227004082 WA Practitioner - Clinical Social Worker 7113362310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

825 SE Bishop Blvd
Suite 200
Pullman, WA 99163-5537
Phone (509) 332-2517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61380817WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Behavioral Health Social Worker CurrentSince Jan 1, 2024 Accepting new patients
Public Hospital District #1-a of Whitman County Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

915 NE Valley Rd
Pullman, WA 99163
Phone (509) 332-3548

825 SE Bishop Blvd
Ste 200
Pullman, WA 99163
Phone (509) 332-2517

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

127 W Boone Ave
Spokane, WA 99201
Phone (509) 720-9513

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1689235251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NE VALLEY RD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633845",
            "telephone_number": "509-332-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NE VALLEY RD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633845",
            "telephone_number": "509-332-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTENSCHLAGER",
        "first_name": "KAYSHA",
        "middle_name": "RENAE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61380817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYSHA",
            "last_name": "LYMAN",
            "middle_name": "RENAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.