KAITLYN LIANE REILLY
NPI 1205381613
Social Worker - Clinical in Stockton, CA

Q: What is Kaitlyn Reilly's NPI number?

The NPI number for Kaitlyn Reilly is 1205381613. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Q: What is Kaitlyn Reilly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Reilly was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 16, 2016

1141 LEVER BLVD, STOCKTON, CA 95206(209) 681-6421 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2024, Aug 20, 2018, Jul 6, 2017 and 1 more (4 updates tracked since 2016).

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About Kaitlyn Liane Reilly NPPES

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

KAITLYN LIANE REILLY (NPI 1205381613) is an individual clinical provider in Stockton, California, licensed in California (LCSW107788) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1205381613

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKAITLYN LIANE REILLY

Location Address1141 LEVER BLVDStockton, CA 95206-2855

Mailing Address1141 Lever BlvdStockton, CA 95206-2855 · (209) 681-6421

Phone(209) 681-6421

Sole ProprietorYes

Enumeration DateAugust 16, 2016

Last NPPES UpdateApril 29, 20244 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1205381613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCSW107788

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X · License ASW83651 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1141 LEVER BLVD, Stockton, CA 95206

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Other Providers at the Same Location NPPES 9

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

MR. ALEXIS MONTOYA VILLALPANDO M.S. PSYCHOLOGY

Behavior Analyst