Kyla Suzanne Treahy, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0104577 Issued in VT

Practice address

186 North St
Bennington, VT 05201-1874

Phone

(802) 447-6913

Fax

(802) 442-2137

NPI assigned

Aug 27, 2009

Last updated

Oct 3, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1922231778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 NORTH ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011874",
            "telephone_number": "802-447-6913",
            "fax_number": "802-442-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 NORTH ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011874",
            "telephone_number": "802-447-6913",
            "fax_number": "802-442-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREAHY",
        "first_name": "KYLA",
        "middle_name": "SUZANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0104577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Elizabeth Thorpe, OTR/L
• Joshua Tobe
• William R Tock, MD
• Town of Bennington Rescue Squad, Inc.
• Corbin Tracy
• Nicole Lee Troop, RN, IBCLC
• Keili A. Trottier, LCMHC
• Amanda Tunall, PHARM.D.
• Arthur Frank Turton, M.D.
• Sarah Elizabeth Underwood

• Clinical Social Worker in Bennington, VT
• Providers in Bennington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.