Individual provider Active NPI

Kaylee Moyer, LCSW

  • Clinical Social Worker
  • Pottsville, PA
National Provider Identifier
1871465880
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026450 Issued in PA
Practice address
396 S Centre St Ste 3
Pottsville, PA 17901-3597
Phone
(570) 590-1827
Fax
(570) 516-9344
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 CW026450 PA Primary

Addresses

Primary practice location

396 S Centre St Ste 3
Pottsville, PA 17901-3597

Mailing address

396 S Centre St Ste 3
Pottsville, PA 17901-3597
Phone (570) 590-1827

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
I20251028002740 PA Practitioner - Clinical Social Worker 6901395250 Reassigns benefits to 1 organization

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
Clinical Social Worker Associates IncGroup PAC ID 8325336399, 6 clinicians

Practice addresses (Care Compare)

396 S Centre St
Suite 3
Pottsville, PA 17901-3597
Phone (570) 640-3744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW026450PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Social Worker Associates, Inc. Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

396 S Centre St
Ste 3
Pottsville, PA 17901
Phone (570) 573-0247

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1871465880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 S CENTRE ST STE 3",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013597",
            "telephone_number": "570-590-1827",
            "fax_number": "570-516-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 S CENTRE ST STE 3",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013597",
            "telephone_number": "570-590-1827",
            "fax_number": "570-516-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "KAYLEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.