Individual provider Active NPI

India Iasia Kyles, LICSW

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1205443462
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123267 Issued in MA
Practice address
82 Tilton St
Springfield, MA 01109-2332
Phone
(413) 250-4402
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 123267 MA Primary

Addresses

Primary practice location

82 Tilton St
Springfield, MA 01109-2332

Mailing address

82 Tilton St
Springfield, MA 01109-2332
Phone (413) 250-4402

Other practice location 1

59 Interstate Dr Ste 3
West Springfield, MA 01089-5100
Phone (774) 206-1125

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
123267MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Restored, LLC Clinical CurrentSince Oct 4, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1205443462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TILTON ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011092332",
            "telephone_number": "413-250-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TILTON ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011092332",
            "telephone_number": "413-250-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Interstate Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010895100",
            "country_code": "US",
            "telephone_number": "774-206-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLES",
        "first_name": "INDIA",
        "middle_name": "IASIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.