Kyla M Kalimullah, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW01962 Issued in RI

Practice address

1443 Hartford Ave
Johnston, RI 02919

Phone

(401) 273-8100

Fax

(401) 861-8696

NPI assigned

Oct 26, 2016

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1417409491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-273-8100",
            "fax_number": "401-861-8696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Morris Ave",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028602521",
            "country_code": "US",
            "telephone_number": "401-569-2751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Morris Ave",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028602521",
            "country_code": "US",
            "telephone_number": "401-569-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALIMULLAH",
        "first_name": "KYLA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnston Public Schools
• William M Johnston Jr., RPT
• Jillian Jordan, PT
• Karen Marie Jordan, NP
• Valerie L Joseph, LCSW
• Roumiana Kardzhieva, DMD
• Wenxin Karshis, RN
• Edward S Katz, DDS
• Yao Tek Kaw, MD
• Ashley Kelly, LMHC-A

• Clinical Social Worker in Johnston, RI
• Providers in Johnston, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.