Kayla Imani Eding, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904019977 Issued in VA

Practice address

2833 Chariot LN
Olympia Fields, IL 60461-1512

Phone

(616) 566-0770

NPI assigned

Dec 25, 2019

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

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.

• Moving Forward PLC

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1932995750
  NPD (past)

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1982243879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 CHARIOT LN",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611512",
            "telephone_number": "616-566-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 CHARIOT LN",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611512",
            "telephone_number": "616-566-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 S Saint Asaph St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223143119",
            "country_code": "US",
            "telephone_number": "571-483-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDING",
        "first_name": "KAYLA",
        "middle_name": "IMANI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-25",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Randolph Dyson, DO
• Earlesian Health Concepts
• Eastside Healthcare of Chicago Heights SC
• Eddi Care LLC
• Eddi Care LLC
• Edward J Pavlik DDS & Assoc LTD
• Ashley Shene Edwards, LCPC
• Diane L Egan, NUTRITIONIST
• Chidinma Nnenna Ekenna, M.D.
• Mohammad El-Rifai, MD

• Clinical Social Worker in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.