Individual
KAYLA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4230 FIR ST UNIT 216, EAST CHICAGO, IN 46312
(219) 392-7498
(219) 703-6912
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33009711A
IN
1041C0700X
Clinical Social Worker
Primary
34011401A
IN
Other
Enumeration date
07/23/2020
Last updated
12/19/2025
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