Active NPI
Laine Meri Bookwalter, MSW, LCSW
- Clinical Social Worker
- Seneca, PA
National Provider Identifier
1982990701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW024298
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| 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) 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.
-
- Clinical Social Worker
- Seneca, PA
- NPI 1114761947
-
- Clinical Social Worker
- Shippenville, PA
- NPI 1275778417
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.