Provider Demographics
NPI:1578977286
Name:BUTTON, KAYLA LYNN (MSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:LYNN
Last Name:BUTTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4929 W DORIS DR
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-6132
Mailing Address - Country:US
Mailing Address - Phone:815-954-8110
Mailing Address - Fax:
Practice Address - Street 1:213 E COURT ST STE 211
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-3824
Practice Address - Country:US
Practice Address - Phone:815-246-2473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490189961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical