Active NPI
Kayla A Gleave
- Clinical Social Worker
- Colville, WA
National Provider Identifier
1780252080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61688597
- Practice address
- 1200 E Columbia Ave
Colville, WA 99114-3354 - Phone
- (509) 684-3701
- NPI assigned
- Jun 14, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | LW61688597 | WA | Primary |
Addresses
Primary practice location
1200 E Columbia Ave
Colville, WA 99114-3354
Mailing address
PO Box 31001-4114
Pasadena, CA 91110-0001
Phone (866) 747-2455
Other practice location 1
165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597
Other practice location 2
406 SE 131st Ave Ste 303
Vancouver, WA 98683-4014
Phone (306) 828-8912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC61226948 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1780252080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-4114",
"city": "PASADENA",
"state": "CA",
"postal_code": "911100001",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E COLUMBIA AVE",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991143354",
"telephone_number": "509-684-3701"
}
],
"practiceLocations": [
{
"address_1": "165 E Hawthorne Ave",
"address_purpose": "LOCATION",
"city": "Colville",
"state": "WA",
"postal_code": "991142629",
"country_code": "US",
"telephone_number": "509-684-4597",
"fax_number": "509-684-5286",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "406 SE 131st Ave Ste 303",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986834014",
"country_code": "US",
"telephone_number": "306-828-8912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLEAVE",
"first_name": "KAYLA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61688597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.