Katlyn Marie Leid, LSW

Individual provider Active NPI Social Worker · Salunga, PA

NPI 1932885142 · NPPES record last updated Jun 22, 2023

Key facts

NPI
1932885142
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SW140296 (PA)
Practice address
45 W Brandt Blvd
Salunga, PA 17538-1105
Phone
(717) 282-2908
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 31, 2025 through Oct 31, 2027

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW140296PAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW140296 PA Yes

Addresses

Primary practice location

45 W Brandt Blvd
Salunga, PA 17538-1105

Mailing address

45 W Brandt Blvd
Salunga, PA 17538-1105

Other providers in Salunga, PA

All providers in Salunga, PA · Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.