Kailyn R Slade, LCSW
Social Worker, School in Woodbridge, VA. Individual provider (NPI-1).
NPI number1730779596
StatusActive
Last updated in NPPESOct 9, 2025
Details
- NPI
- 1730779596
- Entity type
- Individual (NPI-1)
- Name
- Kailyn R Slade
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2021
- Certification date
- Oct 9, 2025
- Last updated
- Oct 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | PPS-0609108 | VA | Yes |
| 1041C0700X | Social Worker, Clinical | 0904012595 | VA |
Practice location
12569 Plymouth CtWoodbridge, VA 22192-2349
Phone 703-220-0037
Mailing address
12569 Plymouth CtWoodbridge, VA 22192-2349
Phone 703-220-0037
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