Laine Meri Bookwalter, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Seneca, PA
NPI 1982990701 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1982990701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW024298 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW128692 | PA | MD | Social Worker |
| CW024298 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Up Therapy Solutions, LLC | Clinical | Current |
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) 226-1159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW024298 | PA | Yes |
| Social Worker | 104100000X | SW128692 | PA |
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
- Miss Laine Meri McCullon
Other providers in Seneca, PA
- BHS Seneca Medical Center LLC
- Mindy Bish
- Jennifer Michelle Bishop
- Donald Bittner
- Randy Boggess
- Julia N Bordell
- Jessica R Bowes
- Jeremy David Bowser
- Tait P Brady
- Sarah Brenot
All providers in Seneca, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.