Kayla Reilly, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010221 Issued in NC

Practice address

5329 Oleander Dr Ste 206
Wilmington, NC 28403-5841

Phone

(910) 535-1266

Fax

(910) 679-6347

NPI assigned

Jul 13, 2014

Last updated

Jan 15, 2019By the provider in NPPES

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 names 1

• Kayla Coughlan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KRC Counseling Inc.

  dba Evolution Wellness

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1023557154
  NPD Authorized official

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1770990665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 OLEANDER DR STE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035841",
            "telephone_number": "910-535-1266",
            "fax_number": "910-679-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 OLEANDER DR STE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035841",
            "telephone_number": "910-535-1266",
            "fax_number": "910-679-6347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5917 Oleander Dr",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034781",
            "country_code": "US",
            "telephone_number": "910-409-8958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "KAYLA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "COUGHLAN",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bonny Reid, MSW, LCSWA
• David Settle Reid V, MD
• Jessica Reid, OTR/L
• Roisin Clare Reidy, FNP-C
• Dennis Sheppard Reifsnider, LCAS
• Kevin John Reilly
• Christina Jean Reinhard
• Alexandria Elizabeth Reinhardt, LCSWA
• Emily R Reiniche, CCC-SLP
• Rejuvenation Chiropractic & Sports Rehab PLLC

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.