Individual provider · Type 1 NPI

Kayla Gentry Bullard, MSW, LCSWA

Clinical Social Worker · Yadkinville, NC

NPI number 1255909594 Active

Practice location

714 Carolina Ave Ste A
Yadkinville, NC 27055-7793

Call (336) 818-0733 Map

Mailing address

111 Sylvan Rd
Thurmond, NC 28683-9439

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP016296 (NC)

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 1255909594

Kayla Gentry Bullard, MSW, LCSWA's National Provider Identifier is 1255909594, issued on Jun 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Yadkinville, NC. The record was last updated on Jan 20, 2022.