Provider Demographics
NPI:1386531473
Name:MCDONALD, KAYLA (LMSW, LSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LMSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SPRINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1048
Mailing Address - Country:US
Mailing Address - Phone:908-656-0078
Mailing Address - Fax:
Practice Address - Street 1:10 SPRINGWOOD DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-1048
Practice Address - Country:US
Practice Address - Phone:908-656-0078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL072918001041C0700X
NY127385-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical