Provider Demographics
NPI:1275927493
Name:NAIL, KATHY L (LCSW, MAC)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:L
Last Name:NAIL
Suffix:
Gender:F
Credentials:LCSW, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E PITT ST
Mailing Address - Street 2:SUITE/APT. 1
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-1324
Mailing Address - Country:US
Mailing Address - Phone:814-623-7370
Mailing Address - Fax:814-623-7375
Practice Address - Street 1:233 E PITT ST
Practice Address - Street 2:SUITE/APT. 1
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1324
Practice Address - Country:US
Practice Address - Phone:814-623-7370
Practice Address - Fax:814-623-7375
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0184701041C0700X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical