Provider Demographics
NPI:1356138937
Name:CLICK, KAYLA RENEE (LCSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:RENEE
Last Name:CLICK
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 1:4033 W YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7552
Mailing Address - Country:US
Mailing Address - Phone:602-299-0363
Mailing Address - Fax:
Practice Address - Street 1:4033 W YORKSHIRE DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7552
Practice Address - Country:US
Practice Address - Phone:602-299-0363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ198021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical