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

Kyla L Gilmore

Individual provider Mental Health Counselor · NPI 1104595446

Kyla L Gilmore is a Clinical Social Worker in Modesto, California. Qualified in 2020, 6 years ago. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5815 Stoddard Rd Ste 600
Modesto, CA 95356-9041
Phone: (209) 543-1874
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 99050 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 99050 (CA)

Record details

NPI number1104595446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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