Kaylee E Berry-Reich, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61024298 Issued in WA

Practice address

4445 SE Firmont Dr
Port Orchard, WA 98367-9015

Phone

(360) 535-3847

Fax

(877) 682-9319

NPI assigned

Feb 2, 2015

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

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

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1306236062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 SE FIRMONT DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679015",
            "telephone_number": "360-535-3847",
            "fax_number": "877-682-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 SE FIRMONT DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679015",
            "telephone_number": "360-535-3847",
            "fax_number": "877-682-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY-REICH",
        "first_name": "KAYLEE",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61024298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristine Joann Berensohn, MG61629412
• Hyrum Richard Berg, LMP
• Kristine Bergan
• Shannon Marie Berger, LMP
• Zachary Bergevin, DDS
• Karli Berry, NP-C
• Scott A Bildsten, DO
• David Christopher Billings, M.S., L.M.H.C.
• Kelly Lynn Billings, CBT
• Cynthia L Bilyeu, LMP

• Clinical Social Worker in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.