Kaila-Leigh Testerman Nunley, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25277 Issued in MD

Practice address

59 Ave D
364
Perry Point, MD 21902

Phone

(410) 642-2411

NPI assigned

Aug 15, 2019

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Grassy Creek Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Belcamp, MD
  • NPI 1285487470
  NPD Authorized official
• Baltimore Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Perry Point, MD
  • NPI 1972551596
  NPD

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1245886282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PERRYVILLE DR",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021111",
            "telephone_number": "410-642-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVE D",
            "address_2": "364",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "KAILA-LEIGH",
        "middle_name": "TESTERMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "25277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay Kumar Nellore, MD
• Brittani Nelson
• Cecil Eric Nelson, RPH
• Phillip Craig Nissen, LCSW-C
• Ruth Nissen, LCSW-C,CCDC
• Adam Nusgart, OD
• Gina O'Callaghan, LMSW
• Megan E Palmer, LMSW
• Nathaniel Parkinson, MSW
• Perry Point Vamc

• Clinical Social Worker in Perry Point, MD
• Providers in Perry Point, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.