Healthcare Provider Details

I. General information

NPI: 1033048848
Provider Name (Legal Business Name): KYLA N DANIELS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 NORTHWOOD PLZ
FRANKLIN IN
46131-1037
US

IV. Provider business mailing address

2885 W BATTLEFIELD ST
SPRINGFIELD MO
65807-3952
US

V. Phone/Fax

Practice location:
  • Phone: 317-346-2000
  • Fax: 347-346-0532
Mailing address:
  • Phone: 417-761-5214
  • Fax: 417-761-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34010145A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: