Kayla Breanne Balensiefer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013646 Issued in VA

Practice address

7414 Walton LN
Annandale, VA 22003-2555

Phone

(571) 410-4110

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

No

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)

Not 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 and National Provider Directory roles.

• Saving Throw Therapeutics LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annandale, VA
  • NPI 1326794272
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1164178018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 WALTON LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032555",
            "telephone_number": "571-410-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7414 WALTON LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032555",
            "telephone_number": "571-410-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENSIEFER",
        "first_name": "KAYLA",
        "middle_name": "BREANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bachand, OTR
• Cindy W Badger
• Alan R. Baker, M.D.
• Nicholas R Balaji, MD
• Carolina Celeste Balcazar, LPC
• Anastasia Balkissoon
• Julia Anne Balunis, DNP,FNP-BC,PMHNP-BC
• Alimatu Mary Bangura
• Bao Dinh DO PC
• Bara Pharmacy Inc

• Clinical Social Worker in Annandale, VA
• Providers in Annandale, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.