Provider Demographics
NPI:1952125957
Name:HANDBERRY, KAYLA I (LMSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:I
Last Name:HANDBERRY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2177
Mailing Address - Country:US
Mailing Address - Phone:475-256-9056
Mailing Address - Fax:
Practice Address - Street 1:10 COBBLE CT OFC 2
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:CT
Practice Address - Zip Code:06759-3538
Practice Address - Country:US
Practice Address - Phone:475-256-9056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT104811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical