Provider Demographics
NPI:1881226264
Name:BURCHFIELD, KAYLA HARDY (BSW, MSSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:HARDY
Last Name:BURCHFIELD
Suffix:
Gender:F
Credentials:BSW, MSSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 IOWA LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4494
Mailing Address - Country:US
Mailing Address - Phone:919-985-5085
Mailing Address - Fax:
Practice Address - Street 1:130 IOWA LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4494
Practice Address - Country:US
Practice Address - Phone:984-389-6309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2021-11-16
Deactivation Date:2020-07-15
Deactivation Code:
Reactivation Date:2021-11-16
Provider Licenses
StateLicense IDTaxonomies
NCP013731104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker