Provider Demographics
NPI:1770943961
Name:MURPHY, KAYLA E (LCSW, MSW, MSM, SAC)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCSW, MSW, MSM, SAC
Other - Prefix:MS
Other - First Name:KAYLA
Other - Middle Name:E
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11203 N BUNTROCK AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-1857
Mailing Address - Country:US
Mailing Address - Phone:262-518-0352
Mailing Address - Fax:
Practice Address - Street 1:11203 N BUNTROCK AVE STE 201
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-1857
Practice Address - Country:US
Practice Address - Phone:262-518-0352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI130042-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical