Kyley Samantha Dermody, LCSW
NPI 1609457886ActiveIndividual· Social Worker, Clinical· Troy, MO
Social Worker, Clinical (LCSW) in Troy, Missouri, licensed in MO and MS, with an NPI issued in April 2021.
Overview
| NPI | 1609457886 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Apr 19, 2021 |
| Last updated in NPPES | Nov 8, 2022 |
| Certified by provider | Nov 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 2021012608 | MO |
| Social Worker, Clinical | 1041C0700X | C9895 | MS |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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