Individual provider Active NPI

Laine Meri Bookwalter, MSW, LCSW

  • Clinical Social Worker
  • Seneca, PA
National Provider Identifier
1982990701
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024298 Issued in PA
Practice address
3201 State Route 257 Ste 3
Seneca, PA 16346-2429
Phone
(814) 226-1159
Fax
(814) 227-2876
NPI assigned
Jun 20, 2011
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW128692 PA
Clinical Social Worker 1041C0700X CW024298 PA Primary

Addresses

Primary practice location

3201 State Route 257 Ste 3
Seneca, PA 16346-2429

Mailing address

787 Pittsville Rd
Kennerdell, PA 16374-4711
Phone (814) 673-1540

Other names 1

  • Miss Laine Meri McCullon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW128692PAMDSocial Worker
CW024298PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Therapy Solutions, LLC Clinical CurrentSince Jan 19, 2025 Accepting new patients
Shippenville Project Point of Light, Inc Dba Manno Therapeutic Service Social Worker Past Accepting new patients

Locations

3201 State Route 257
Ste 3
Seneca, PA 16346
Phone (814) 758-9986

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1982990701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 PITTSVILLE RD",
            "city": "KENNERDELL",
            "state": "PA",
            "postal_code": "163744711",
            "telephone_number": "814-673-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 STATE ROUTE 257 STE 3",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462429",
            "telephone_number": "814-226-1159",
            "fax_number": "814-227-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKWALTER",
        "first_name": "LAINE",
        "middle_name": "MERI",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128692",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAINE",
            "last_name": "MCCULLON",
            "middle_name": "MERI",
            "prefix": "MISS",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seneca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.