Healthcare Provider Details

I. General information

NPI: 1336290279
Provider Name (Legal Business Name): KAY LYNNE MORAN MSW, LCSW, CCM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAY LYNNE SCHELL MSW, LCSW

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 04/25/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WELLSPRING FAMILY SERVICES 827 FAIRMONT RD SUITE 201
WESTOVER WV
26501
US

IV. Provider business mailing address

126 MARSHALL ST
CONNELLSVILLE PA
15425
US

V. Phone/Fax

Practice location:
  • Phone: 304-292-1716
  • Fax:
Mailing address:
  • Phone: 304-365-0254
  • Fax: 304-368-5346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCP00938927
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: