MEDICARE: KAYLYNN PIERCE LMSW

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	104100000X	Social Worker	33147	MD

General Provider Information

NPI Number	:	1487546644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLYNN PIERCE LMSW

Provider Business Mailing Address
First Line	:	4416 E WEST HWY STE 350
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4577
Country	:	US
Telephone Number	:	301-656-4600
Fax Number	:	301-656-4601

Provider Business Practice Location Address
First Line	:	4416 E WEST HWY STE 350
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4577
Country	:	US
Telephone Number	:	301-656-4600
Fax Number	:	301-656-4601

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

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/21/2025

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