Kyle Joseph Gilrain, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09004006701 Issued in FL

Practice address

570 Memorial Cir Ste 310
Ormond Beach, FL 32174-5060

Phone

(386) 290-2993

NPI assigned

May 2, 2007

Last updated

Aug 18, 2009By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rambler Mental Health

  • Clinical Social Worker
  • Lavallette, NJ
  • NPI 1700489580
  NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1154542587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 310",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745060",
            "telephone_number": "386-290-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 310",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745060",
            "telephone_number": "386-290-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILRAIN",
        "first_name": "KYLE",
        "middle_name": "JOSEPH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "09004006701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Giarnieri
• Daniel Gibbs, D.C.
• Daniel Gierbolini, D.C.
• Audrey Isabel Gil de Rubio, D.C.
• William L. Gilmer, M.D.
• Gina Sevigny M D P a (Ormond Beach Dermatology)
• Tanya Marie Gintoli, LMHC
• H Phillip Glazner, R. PH
• April May Gleason, LMMT
• Lolether Elester Glover-Crooms

• Clinical Social Worker in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.