# KILEY S RADICH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225619778
- **Gender:** F
- **Credential:** MSW, LICSWA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | CG61169626 | WA | — |
| 104100000X | Social Worker | SC70074609 | WA | Yes |
| 1041C0700X | Clinical Social Worker | SC70074609 | WA | — |
| 171M00000X | Case Manager/Care Coordinator | CG61169626 | WA | Yes |

## Other

- **Enumeration date:** 04/16/2021
- **Last updated:** 03/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2178067 | — | WA |