Individual provider Active NPI

Susan Christine Laythe, LCSW

  • Clinical Social Worker
  • Meadville, PA
National Provider Identifier
1760783237
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019478 Issued in PA
Practice address
435 Chestnut St
Meadville, PA 16335-4404
Phone
(814) 807-0861
Fax
(814) 807-0863
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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 CW019478 PA Primary

Addresses

Primary practice location

435 Chestnut St
Meadville, PA 16335-4404

Mailing address

435 Chestnut St
Meadville, PA 16335-4404
Phone (814) 807-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200305001089 PA Practitioner - Clinical Social Worker 5890122733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkside Psychological AssociatesGroup PAC ID 3577990415, 6 clinicians

Practice addresses (Care Compare)

435 Chestnut St
Meadville, PA 16335-4404
Phone (814) 807-0861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019478PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Psychological Associates Clinical CurrentSince Feb 11, 2020 Accepting new patients

Locations

8406 Sharon Mercer Rd
Ste 101
Mercer, PA 16137
Phone (814) 807-0861

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": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1760783237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354404",
            "telephone_number": "814-807-0861",
            "fax_number": "814-807-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354404",
            "telephone_number": "814-807-0861",
            "fax_number": "814-807-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYTHE",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.