Individual provider Active NPI

Kayla Gilde, LCSW

  • Clinical Social Worker
  • Jackson, NJ
National Provider Identifier
1396115770
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05519600 Issued in NJ
Practice address
19 N County Line Rd
Jackson, NJ 08527-1466
Phone
(732) 510-3641
NPI assigned
Sep 29, 2015
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 44SC05519600 NJ Primary

Addresses

Primary practice location

19 N County Line Rd
Jackson, NJ 08527-1466

Mailing address

6 Florence Dr
Manchester, NJ 08759-6084
Phone (732) 510-3641

Other practice location 1

6 Florence Dr
Manchester, NJ 08759-6084
Phone (732) 510-3641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160422000815 NJ Practitioner - Clinical Social Worker 3173822327 Practice locations: Jackson, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19 N County Line Rd
Jackson, NJ 08527-1466
Phone (732) 510-3641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05519600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapist LLC Clinical CurrentSince Nov 12, 2017 Accepting new patients
Robert Curia & Joanne Charney Partners Clinical Past Accepting new patients

Organizations & group practices 2

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1396115770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FLORENCE DR",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596084",
            "telephone_number": "732-510-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271466",
            "telephone_number": "732-510-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Florence Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NJ",
            "postal_code": "087596084",
            "country_code": "US",
            "telephone_number": "732-510-3641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILDE",
        "first_name": "KAYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05519600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.