Provider Demographics
NPI:1295470078
Name:HARRINGTON, KAYLEY JO (LCSW)
Entity type:Individual
Prefix:
First Name:KAYLEY
Middle Name:JO
Last Name:HARRINGTON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2566 E CARAMILLO ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-3070
Mailing Address - Country:US
Mailing Address - Phone:202-257-3454
Mailing Address - Fax:
Practice Address - Street 1:2523 SE PINE LN
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97267-1222
Practice Address - Country:US
Practice Address - Phone:970-718-5590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA927661041C0700X
CO099275571041C0700X
WALW616384981041C0700X
ORL159661041C0700X
MALICSW11300951041C0700X
RIISW036381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIISW03638OtherRI DEPARTMENT OF HEALTH
ORL15966OtherBOARD OF LICENSED SOCIAL WORKERS
CA92766OtherBOARD OF BEHAVIORAL SCIENCES CA
COCSW.09927557OtherCO DEPARTMENT OF REGULATORY AGENCIES
MALICSW1130095OtherBOARD OF REGISTRATION OF SOCIAL WORKERS
WALW61638498OtherSTATE OF WASHINGTON DEPARTMENT OF HEALTH