1. Home
  2. Directory
  3. New York
  4. Latham
  5. Social Worker
  6. NPI Profile

MR. KYLE ERICK KILTS LCSW-R
NPI 1063849974
Social Worker - Clinical in Latham, NY

Active since October 09, 2013PECOS Enrolled
15 CORNELL RD, LATHAM, NY 12110(518) 510-3100 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2022, May 13, 2021 (2 updates tracked since 2021).

About Mr. Kyle Erick Kilts Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KYLE ERICK KILTS LCSW-R (NPI 1063849974) is an individual clinical provider in Latham, New York and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063849974
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KYLE ERICK KILTSCredential: LCSW-R
Location Address15 CORNELL RDLatham, NY 12110-1491
Mailing Address15 Cornell RdLatham, NY 12110-1491 · (518) 510-3100
Phone(518) 510-3100
Sole ProprietorNo
Enumeration DateOctober 9, 2013
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1063849974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
15 CORNELL RD, Latham, NY 12110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kyle Erick Kilts Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Kilts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Hospital Of Troy, New York
7.7 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY P RINALDI PHD
Psychologist
15 CORNELL RD
LATHAM, NY 12110
Albany County (518) 510-3100
EMMA SKYE WILKINSON
Student in an Organized Health Care Education/Training Program
15 CORNELL RD
LATHAM, NY 12110
Albany County (518) 510-3100
RAE DANETT DRACH
Psychologist (Clinical)
15 CORNELL RD
LATHAM, NY 12110
Albany County (518) 510-3100
ELISABETH O'ROURKE
Psychologist (Clinical)
15 CORNELL RD
LATHAM, NY 12110
Albany County (518) 510-3100
MR. ALEXANDER THIEME SHEPPARD
Student in an Organized Health Care Education/Training Program
15 CORNELL RD
LATHAM, NY 12110
Albany County (518) 510-3100
EDWARD CHARLES MERRITT MA
Psychologist (Clinical Child & Adolescent)
15 CORNELL RD
LATHAM, NY 12110
Albany County (518) 510-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Kilts's NPI number?

The NPI number for Kyle Kilts is 1063849974. It was assigned to this individual provider in the NPPES registry on October 9, 2013.

Where is Kyle Kilts located?

Kyle Kilts practices at 15 Cornell Rd, Latham, NY 12110. The listed phone number is (518) 510-3100.

What is Kyle Kilts's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kyle Kilts enrolled in Medicare?

Yes. Kyle Kilts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Kilts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Kilts reassigns Medicare benefits to Samaritan Hospital Of Troy, New York (Troy, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Kilts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Kilts was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.