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

Kaylee A Bodner, LCSW-A, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699490938

Kaylee A Bodner, LCSW-A, LCAS-A is a Clinical Social Worker in Davidson, North Carolina. Qualified in 2022, 4 years ago. Practices with Jeannine Bodner LCSW PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
2

Practice location Address checks out

120 S Village Ln Ste D
Davidson, NC 28036-8159
Phone: (704) 255-5155
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 P017755 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-28128 (NC)

Record details

NPI number1699490938
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A , LCAS-A
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jeannine Bodner Lcsw Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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