Provider Demographics
NPI:1336888783
Name:SHEFFIELD, KAYLA ASH (LCSW)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:ASH
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5668 EDWARDS RANCH RD STE 301
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4107
Mailing Address - Country:US
Mailing Address - Phone:877-504-8504
Mailing Address - Fax:855-420-6402
Practice Address - Street 1:5668 EDWARDS RANCH RD STE 301
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4107
Practice Address - Country:US
Practice Address - Phone:877-504-8504
Practice Address - Fax:855-420-6402
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX607371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical