KAYLEE A BODNER LCSW-A, LCAS-A
NPI 1699490938
Social Worker - Clinical in Davidson, NC
About Kaylee A Bodner Lcsw-a, Lcas-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLEE A BODNER LCSW-A, LCAS-A (NPI 1699490938) is an individual clinical provider in Davidson, North Carolina, licensed in North Carolina (P017755) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaylee A Bodner Lcsw-a, Lcas-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kaylee Bodner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Davidson, NC 28036
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
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 28036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kaylee Bodner's NPI number?
The NPI number for Kaylee Bodner is 1699490938. It was assigned to this individual provider in the NPPES registry on October 10, 2022.
Where is Kaylee Bodner located?
Kaylee Bodner practices at 120 S Village Ln Ste D, Davidson, NC 28036. The listed phone number is (704) 255-5155.
What is Kaylee Bodner's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kaylee Bodner enrolled in Medicare?
Yes. Kaylee Bodner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kaylee Bodner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaylee Bodner reassigns Medicare benefits to Jeannine Bodner, Lcsw, PLLC (Davidson, NC). 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 Kaylee Bodner'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 Kaylee Bodner was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kaylee A Bodner, LCSW-A, LCAS-A · NPI 1699490938
Clinical provider in Davidson, North Carolina. Individual provider, active in the CMS NPPES registry since October 10, 2022.
## Identity
- **NPI:** 1699490938 (Entity type: Individual)
- **Enumerated:** October 10, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** P017755 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 S VILLAGE LN STE D, Davidson, NC 28036-8159
- **Phone:** (704) 255-5155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jeannine Bodner, Lcsw, PLLC (NPI 1255792156, Davidson, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1699490938) · Data from the CMS NPPES public registry.