Kytaina Gabriel, LCSWA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P018856 Issued in NC

Practice address

9723 Northcross Center CT Ste L
Huntersville, NC 28078-7301

Phone

(704) 948-5009

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Trauma Therapy of the Carolinas LLC

  • Mental Health Counselor
  • Huntersville, NC
  • NPI 1942716808

  Single Specialty

  NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1841978103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HACKBERRY CREEK TRL APT 1127",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690492",
            "telephone_number": "786-859-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 NORTHCROSS CENTER CT STE L",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787301",
            "telephone_number": "704-948-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "KYTAINA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P018856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Front Page Services, LLC
• Annie Yee Fu, PHARM. D.
• Full Spectrum Therapy Services, PLLC
• Functional Medicine Center of the Carolinas PC
• Ava Elizabeth Furr
• Marcus Jamar Gaddy, MSW LCSWA
• Thanveer Reddy Gadwal, PHARMD
• Kyara Gage
• Sonal Gagrani, MD
• Gahc3 Huntersville NC TRS Sub, LLC

• Social Worker in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.