Individual
KRISTEN SHAYLEE LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
38378 MIDLAND TRL E STE B, CALDWELL, WV 24925-2101
(304) 520-0182
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 521-1129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00946292
WV
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
BP00946292
WV
Other
Enumeration date
08/26/2021
Last updated
11/19/2025
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