Provider Demographics
NPI:1669864070
Name:SCHOCHET, KAYLA (LICSW, LCSW, LCADC)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:
Last Name:SCHOCHET
Suffix:
Gender:F
Credentials:LICSW, LCSW, LCADC
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:BURSZTYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6005 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4019
Mailing Address - Country:US
Mailing Address - Phone:917-371-9699
Mailing Address - Fax:
Practice Address - Street 1:6005 STUART AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-4019
Practice Address - Country:US
Practice Address - Phone:917-371-9699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-21
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00807101YA0400X
NJ37LC00227500101YA0400X
NJ44SC057155001041C0700X
RIISW030111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)