Kayce Nikcole McGilvery, CHW, EFDA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

THW000109853 Issued in OR

Practice address

1289 Winchester Ave
Reedsport, OR 97467-1373

Phone

(541) 699-2186

NPI assigned

Jul 10, 2024

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

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1457198103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63140 BRITTA ST STE D104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035738",
            "telephone_number": "541-699-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 WINCHESTER AVE",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671373",
            "telephone_number": "541-699-2186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 N Knott St",
            "address_purpose": "LOCATION",
            "city": "Coquille",
            "state": "OR",
            "postal_code": "974231035",
            "country_code": "US",
            "telephone_number": "541-290-3031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Curtis Ave",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974201619",
            "country_code": "US",
            "telephone_number": "541-699-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILVERY",
        "first_name": "KAYCE",
        "middle_name": "NIKCOLE",
        "credential": "CHW, EFDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "THW000109853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "568946544",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "5874",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Advantage Dental Group, PLLC",
            "address_1": "1289 Winchester Ave",
            "city": "Reedsport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974671373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lower Umpqua Hospital District
• Lower Umpqua Hospital District
• Lower Umpqua Hospital District
• Lower Umpqua Hospital District
• Willem Marais, RPH
• Svetlana Stepanivna Melnik, PHARMD
• Eric Daniel Moll, PT
• Luis Angel Morales Villarreal, DMD
• Kevin Narang
• Mark Nuttall, D.M.D.

• Social Worker in Reedsport, OR
• Providers in Reedsport, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.