Individual provider Active NPI

Kayla Lyn Page, LICSW

  • Clinical Social Worker
  • Chichester, NH
National Provider Identifier
1265741078
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1555 Issued in NH
Practice address
160 Dover Rd
Suite 5
Chichester, NH 03258-6537
Phone
(603) 798-3100
Fax
(603) 798-3100
NPI assigned
Sep 28, 2010
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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 1555 NH Primary

Addresses

Primary practice location

160 Dover Rd
Suite 5
Chichester, NH 03258-6537

Mailing address

160 Dover Rd
Suite #5
Chichester, NH 03258-6537
Phone (603) 798-3100

Other identifiers 1

IdentifierTypeStateIssuer
30428481MedicaidNH

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
1555NHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1265741078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DOVER RD",
            "address_2": "SUITE #5",
            "city": "CHICHESTER",
            "state": "NH",
            "postal_code": "032586537",
            "telephone_number": "603-798-3100",
            "fax_number": "603-798-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DOVER RD",
            "address_2": "SUITE 5",
            "city": "CHICHESTER",
            "state": "NH",
            "postal_code": "032586537",
            "telephone_number": "603-798-3100",
            "fax_number": "603-798-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "KAYLA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30428481",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chichester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.