Kayla Marie La Rosa, LCSW
Social Worker, Clinical in Orlando, FL. Individual provider (NPI-1).
NPI number1114596228
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1114596228
- Entity type
- Individual (NPI-1)
- Name
- Kayla Marie La Rosa
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW18596 | FL | Yes |
Practice location
52 W Underwood StOrlando, FL 32806-1110
Phone 352-394-4071
Mailing address
17310 W Apshawa RdClermont, FL 34715-9288
Phone 646-709-6545
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