Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Liane Reilly

Individual provider Mental Health Counselor · NPI 1205381613

Kaitlyn Liane Reilly is a Mental Health Counselor in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
4

Practice location Address checks out

1141 Lever Blvd
Stockton, CA 95206-2855
Phone: (209) 681-6421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW107788 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence ASW83651 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1205381613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2016
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

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