Active NPI
Kayla Marie Kirk, LMSW
- Social Worker
- Richardson, TX
National Provider Identifier
1083236848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104764
- Practice address
- 2400 Lakeside Blvd Ste 620
Richardson, TX 75082-4341 - Phone
- (972) 503-6166
- NPI assigned
- May 14, 2020
- 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 | 94789 | CA | |
| Social Worker | 104100000X | 104764 | TX | Primary |
Addresses
Primary practice location
2400 Lakeside Blvd Ste 620
Richardson, TX 75082-4341
Mailing address
4661 Crossvine Dr
Prosper, TX 75078-0916
Phone (214) 695-9193
Other practice location 1
3312 Teasley Ln Ste 100
Denton, TX 76210-8311
Phone (940) 222-2399
Other practice location 2
530 Kings County Dr Ste 104106
Hanford, CA 93230-3579
Phone (559) 754-3128
Other practice location 3
5 Crosby St
New York, NY 10013-3154
Phone (972) 503-6166
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkirk@aspiranet.org | Direct | |
| Direct Messaging Address | kayla.kirk@connectionswellnessgroup.com | Direct |
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 |
|---|---|---|---|
| 94789 | CA | MD | Social Worker |
| 104764 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1083236848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4661 CROSSVINE DR",
"city": "PROSPER",
"state": "TX",
"postal_code": "750780916",
"telephone_number": "214-695-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LAKESIDE BLVD STE 620",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824341",
"telephone_number": "972-503-6166"
}
],
"practiceLocations": [
{
"address_1": "3312 Teasley Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762108311",
"country_code": "US",
"telephone_number": "940-222-2399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 Kings County Dr Ste 104106",
"address_purpose": "LOCATION",
"city": "Hanford",
"state": "CA",
"postal_code": "932303579",
"country_code": "US",
"telephone_number": "559-754-3128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Crosby St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100133154",
"country_code": "US",
"telephone_number": "972-503-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRK",
"first_name": "KAYLA",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "94789",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "104764",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkirk@aspiranet.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "530 Kings County Dr Ste 104106",
"city": "Hanford",
"state": "CA",
"country_code": "US",
"postal_code": "932303579",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kayla.kirk@connectionswellnessgroup.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2701 Shoreline Dr Ste 151",
"city": "Denton",
"state": "TX",
"country_code": "US",
"postal_code": "762100176",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.