Kytara N Reddick, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4493C Issued in AL

Practice address

4900 University SQ Ste 30
Huntsville, AL 35816-1829

Phone

(256) 489-0170

Fax

(256) 489-0179

NPI assigned

Jun 5, 2017

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Remedy Behavioral Health, LLC

  • Psychiatry Physician
  • Florence, AL
  • NPI 1013517317
  Medicare reassignment NPD
• Shoals NP Homecare, LLC

  • Home Health Agency
  • Town Creek, AL
  • NPI 1083178818
  NPD

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1760911648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 UNIVERSITY SQ STE 30",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161829",
            "telephone_number": "256-489-0170",
            "fax_number": "256-489-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "KYTARA",
        "middle_name": "N",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4493C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Healthy Habits LLC
• Shelby Reavis
• Rebekah Smith Counseling, LLC
• Rebelution Chiropractic LLC
• Red 2 Black Consulting , LLC
• Joseph Caelan Redding
• Brynnan Cox Reddy, NCC, LPC
• Gautam Reddy, M.D.
• Malapuram Vasudha Reddy, MD
• Samyuktha C Reddy, M.D.

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.