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

Kayla Ann Jack

Individual provider School Social Worker · NPI 1093498578

Kayla Ann Jack is a School Social Worker in Shiprock, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2023

Practice location Address checks out

US 491
Shiprock, NM 87420
Phone: (505) 419-0294
Show map & directions

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

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence SWB-2023-0550 (NM)

Record details

NPI number1093498578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 10, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing addressPo Box 5036, Shiprock, NM 87420-5036

Other providers in Shiprock