Individual provider Active NPI

Kaitlyn Marie Moody, LCSW, LCAS-A

  • Clinical Social Worker
  • Sylva, NC
National Provider Identifier
1356866859
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012527 Issued in NC
Practice address
44 Bonnie LN
Sylva, NC 28779-8511
Phone
(828) 631-3973
Fax
(828) 631-9280
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-27770 NC
Clinical Social Worker 1041C0700X C012527 NC Primary

Addresses

Primary practice location

44 Bonnie LN
Sylva, NC 28779-8511

Mailing address

220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191019000076 NC Practitioner - Clinical Social Worker 0749511905 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-27770NCMDAddiction (Substance Use Disorder) Counselor
C012527NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc. CurrentSince Dec 17, 2022 Accepting new patients
Meridian Behavioral Health Services, Inc CurrentSince Aug 29, 2019 Accepting new patients
Meridian Behavioral Health Services, Inc. Current Accepting new patients
Meridian Behavioral Health Services CurrentSince Aug 29, 2019 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Dec 17, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Dec 17, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Dec 17, 2022 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Sep 7, 2022 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Sep 7, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Dec 17, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Dec 17, 2022 Accepting new patients

Locations

65 N Broad St
Brevard, NC 28712
Phone (828) 883-2708

69 N Broad St
Brevard, NC 28712
Phone (828) 883-2708

490 Hospital Dr
Clyde, NC 28721
Phone (828) 246-6372

674 Highlands Rd
Franklin, NC 28734
Phone (828) 349-0001

220 5th Ave E
Hendersonvlle, NC 28792
Phone (828) 337-3372

44 Bonnie Ln
Sylva, NC 28779
Phone (828) 586-5501

293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711

293 Hospital Rd
Ste C
Sylva, NC 28779
Phone (828) 477-4334

307 Broadview Rd
Waynesville, NC 28786
Phone (828) 452-9258

131 Walnut St
Waynesville, NC 28786
Phone (828) 456-8604

1207 East St
Waynesville, NC 28786
Phone (828) 456-2997

Interoperability endpoints

  • Direct secure messaging: kaitlyn.moody.1@21884.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1356866859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924377",
            "telephone_number": "828-692-4289",
            "fax_number": "828-696-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BONNIE LN",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798511",
            "telephone_number": "828-631-3973",
            "fax_number": "828-631-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "LCSW, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.