Nahla Kyasa

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW2120813 Issued in MA

Practice address

44 Bearfoot Rd Ste 300
Northborough, MA 01532-1563

Phone

(312) 316-0410

NPI assigned

Dec 9, 2024

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1194531541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NIBLICK RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015457724",
            "telephone_number": "312-316-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BEARFOOT RD STE 300",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321563",
            "telephone_number": "312-316-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYASA",
        "first_name": "NAHLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW2120813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary N Kinyanjui
• Nicole Konarski
• Lara Kopoyan, A.T.
• Marjorie Pierce Kroeger, MA, LMHC
• Kristen Krumbiegel, LICSW
• Kyla E White LMHC PC (Kyla Connor)
• Kyla E White LMHC PC
• Jillian Lagace
• Karen A Landry, M.A.
• Courtney Laperriere

• Clinical Social Worker in Northborough, MA
• Providers in Northborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.