Kailyn R Slade, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

PPS-0609108 Issued in VA

Practice address

12569 Plymouth CT
Woodbridge, VA 22192-2349

Phone

(703) 220-0037

NPI assigned

Jan 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Athletes

  • Clinical Social Worker
  • Woodbridge, VA
  • NPI 1467104844
  NPD Authorized official

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1730779596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12569 PLYMOUTH CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922349",
            "telephone_number": "703-220-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12569 PLYMOUTH CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922349",
            "telephone_number": "703-220-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "KAILYN",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PPS-0609108",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sisters of Hope Nursing Agency
• Sisu Mental Health and Wellness PLLC
• Cynthia Lynn Sivick
• Rozalia Skrzypek, D.C., L.AC.
• Sky Mar LLC
• Teresa B Slade
• Sleepmed, Inc.
• Colleen Marie Slevin, MSN, WHNP-BC
• Janis Ann Slezak, RDH
• Arthur Slye

• School Social Worker in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• School Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.