MEDICARE: KAYLA GILDE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC05519600	NJ

General Provider Information

NPI Number	:	1396115770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA GILDE LCSW

Provider Business Mailing Address
First Line	:	6 FLORENCE DR
Second Line	:
City	:	MANCHESTER
State	:	NJ
Zip	:	08759-6084
Country	:	US
Telephone Number	:	732-510-3641
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 N COUNTY LINE RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-1466
Country	:	US
Telephone Number	:	732-510-3641
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2015
Last Update Date	:	07/29/2024

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Directions to “ KAYLA GILDE LCSW” Practice Location

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