Provider Demographics
NPI:1427869049
Name:REYFF, KAITLYN (LLMSW-C)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:REYFF
Suffix:
Gender:F
Credentials:LLMSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64149 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48363-2502
Mailing Address - Country:US
Mailing Address - Phone:586-651-1715
Mailing Address - Fax:
Practice Address - Street 1:117 W 3RD ST
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-3831
Practice Address - Country:US
Practice Address - Phone:248-965-6606
Practice Address - Fax:313-335-3136
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511184391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical