MEDICARE: KYLIE REIN 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	LCSW-21330	AZ

General Provider Information

NPI Number	:	1659225027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIE REIN LCSW

Provider Business Mailing Address
First Line	:	3161 S PROSPEROUS PL
Second Line	:
City	:	GREEN VALLEY
State	:	AZ
Zip	:	85614-6403
Country	:	US
Telephone Number	:	520-399-7596
Fax Number	:	520-399-7596

Provider Business Practice Location Address
First Line	:	3161 S PROSPEROUS PL
Second Line	:
City	:	GREEN VALLEY
State	:	AZ
Zip	:	85614-6403
Country	:	US
Telephone Number	:	520-399-7596
Fax Number	:	520-399-7596

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

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ KYLIE REIN LCSW” Practice Location

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