Healthcare Provider Details

I. General information

NPI: 1588558944
Provider Name (Legal Business Name): KAYLA HEGLIN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 NW 114TH ST STE 309
CLIVE IA
50325-7008
US

IV. Provider business mailing address

409 10TH ST
DALLAS CENTER IA
50063-2047
US

V. Phone/Fax

Practice location:
  • Phone: 515-949-6918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number130819
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: