Active NPI
Kayla M Beard, BA
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1710671623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P021127
- Practice address
- 5710 Oleander Dr Ste 100
Wilmington, NC 28403-4723 - Phone
- (910) 239-0377
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P021127 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-27485 | NC |
Addresses
Primary practice location
5710 Oleander Dr Ste 100
Wilmington, NC 28403-4723
Mailing address
607 David St
Elizabethtown, NC 28337-8815
Phone (910) 247-2828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781308800000",
"number": "1710671623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 DAVID ST",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283378815",
"telephone_number": "910-247-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034723",
"telephone_number": "910-239-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "KAYLA",
"middle_name": "M",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2026-06-13",
"certification_date": "2026-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P021127",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-27485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.