Individual provider · Type 1 NPI

Kyla L. Gilmore

Clinical Social Worker · Modesto, CA

NPI number 1104595446 Active

Practice location

5815 Stoddard Rd Ste 600
Modesto, CA 95356-9041

Mailing address

5727 Sutter Ave Apt 6
Carmichael, CA 95608-2376

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X99050 (CA)
Clinical Social Worker Primary 1041C0700X99050 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104595446

Kyla L. Gilmore's National Provider Identifier is 1104595446, issued on Sep 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on May 14, 2024.