Active NPIIndividual provider

Miss Kayla L Fafard, LICSW

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1740656602
Practice location
81 Plantation St, Worcester, MA 01604-3069
Fax
—
Last updated
July 23, 2020

Kayla Lynn Fafard is a Social Worker, Clinical based in Worcester, MA. Kayla Lynn Fafard practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Kayla Lynn Fafard is 1740656602 and holds a License No. 122543 (MA). The current practice location address for Kayla Lynn Fafard is 81 Plantation St, Worcester, MA 01604-3069 and can be reached out via phone at 508-890-6519.

Provider Profile Details

NPI Number
1740656602
Provider Name
Kayla Lynn Fafard
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
81 Plantation St, Worcester, MA 01604-3069
Phone Number
508-890-6519
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2015
Last Update Date
July 23, 2020
Certification Date
July 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Plantation St
Worcester, MA 01604-3069
Zip
01604-3069
Phone Number
508-890-6519
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
81 Plantation St
Worcester, MA 01604-3069
City
Worcester
State
MA
Zip
01604-3069
Phone Number
508-890-6519

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
122543
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Kayla L Fafard, LICSW?

The NPI number of Miss Kayla L Fafard, LICSW is 1740656602. It was assigned on August 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Miss Kayla L Fafard, LICSW?

Miss Kayla L Fafard, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122543.

Where does Miss Kayla L Fafard, LICSW practice?

The practice location is 81 Plantation St, Worcester, MA 01604-3069. The office can be reached at 508-890-6519 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740656602 directly on the NPPES registry website.

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