NPIMap

Kayla Dawn Beasley, MSW, CSW

Individual provider Active NPI Clinical Social Worker · Campbellsville, KY

NPI 1306607650 · NPPES record last updated Jan 23, 2024

Key facts

NPI
1306607650
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
257146 (KY)
Practice address
102 Winston Way Ste 3
Campbellsville, KY 42718-4991
Phone
(270) 465-0078
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
257146KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Professional Counseling, LLC Current
since Aug 12, 2024		 Accepting new patients

Locations

102 Winston Way
Ste 3
Campbellsville, KY 42718
Phone (270) 403-0560

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 257146 KY Yes

Addresses

Primary practice location

102 Winston Way Ste 3
Campbellsville, KY 42718-4991

Mailing address

102 Winston Way Ste 3
Campbellsville, KY 42718-4991
Phone (270) 465-0078

Other names

  • Kayla Dawn Smith Former name

Other providers in Campbellsville, KY

All providers in Campbellsville, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.