1295470078 NPI number — KAYLEY JO HARRINGTON LCSW

Table of content: KAYLEY JO HARRINGTON LCSW (NPI 1295470078)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295470078 NPI number — KAYLEY JO HARRINGTON LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARRINGTON
Provider First Name:
KAYLEY
Provider Middle Name:
JO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295470078
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2566 E CARAMILLO ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLORADO SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80909-3070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-257-3454
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2523 SE PINE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97267-1222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-718-5590
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  92766 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 09927557 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: LW61638498 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: L15966 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: LICSW1130095 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: ISW03638 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ISW03638 . This is a "RI DEPARTMENT OF HEALTH" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: L15966 . This is a "BOARD OF LICENSED SOCIAL WORKERS" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 92766 . This is a "BOARD OF BEHAVIORAL SCIENCES CA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: CSW.09927557 . This is a "CO DEPARTMENT OF REGULATORY AGENCIES" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: LICSW1130095 . This is a "BOARD OF REGISTRATION OF SOCIAL WORKERS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: LW61638498 . This is a "STATE OF WASHINGTON DEPARTMENT OF HEALTH" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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