Kyla Burford, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61461230 Issued in WA

Practice address

5020 Hodges Ave
Langley, WA 98260

Phone

(425) 999-6148

NPI assigned

Feb 16, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 20, 2024 through Mar 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1073211322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 2ND ST UNIT 1273",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982601951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 HODGES AVE",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "98260",
            "telephone_number": "425-999-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURFORD",
        "first_name": "KYLA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61461230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Lytle Becker, R.N., M.S.N.
• Gina Valenti Bernal, DPT, ATC
• Braden H Giswold DDS PLLC (Saratoga Dental)
• Anastasia Marie Brencick, LMP
• Teresa Bujacich, ND, LAC.
• Faith Brayton Bushby, LMP
• Vanessa Cameron, LAC
• Carrie Pope, MSW, Licsw, PLLC (Carrie Pope, MSW, LICSW)
• Ashley Marie Cerny, ARNP
• Diana Lynn Chamrad, PHD

• Clinical Social Worker in Langley, WA
• Providers in Langley, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.