Provider Demographics
NPI:1972234722
Name:GRISSETT, KAYLA (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:GRISSETT
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14226 ANITA MARIE LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-6811
Mailing Address - Country:US
Mailing Address - Phone:334-488-5507
Mailing Address - Fax:
Practice Address - Street 1:14226 ANITA MARIE LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-6811
Practice Address - Country:US
Practice Address - Phone:334-488-5507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1086161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical