Individual provider Active NPI

Kayla Rose O'Boyle, LCSW

  • Clinical Social Worker
  • Reidsville, NC
National Provider Identifier
1922790013
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015975 Issued in NC
Practice address
2150 NC Highway 65
Reidsville, NC 27320-9609
Phone
(336) 427-9022
Fax
(336) 427-9030
NPI assigned
May 25, 2023
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C015975 NC
Clinical Social Worker 1041C0700X C015975 NC Primary

Addresses

Primary practice location

2150 NC Highway 65
Reidsville, NC 27320-9609

Mailing address

PO Box 281
Wentworth, NC 27375-0281
Phone (336) 427-9022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address koboyle@ancoracc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20231026000937 NC Practitioner - Clinical Social Worker 7517313646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015975NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Rockingham County, Inc CurrentSince May 1, 2023 Accepting new patients

Locations

2150 NC Highway 65
Reidsville, NC 27320
Phone (336) 427-9022

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1922790013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "WENTWORTH",
            "state": "NC",
            "postal_code": "273750281",
            "telephone_number": "336-427-9022",
            "fax_number": "336-427-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NC HIGHWAY 65",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209609",
            "telephone_number": "336-427-9022",
            "fax_number": "336-427-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BOYLE",
        "first_name": "KAYLA",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C015975",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koboyle@ancoracc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2150 Nc Highway 65",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273209609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.