Kimberly Rosemarie Reddy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

390200000X Issued in CA

Practice address

3838 W. Carson Street
333
Torrance, CA 90505

Phone

(310) 684-3166

NPI assigned

Aug 5, 2009

Last updated

Apr 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kimberly Rosemarie Clayton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1043441272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2011",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-591-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W. CARSON STREET",
            "address_2": "333",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-684-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KIMBERLY",
        "middle_name": "ROSEMARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CLAYTON",
            "middle_name": "ROSEMARIE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Reavell
• Rebecca Kerr (California Pain Institute A Med Grp)
• Hannah Reber
• Reconstructive Surgery Affiliates
• Satchee S Redd
• Radhika Zopey Reddy, MD
• Shravani Reddy
• Christopher Redgate, M.D.
• Mildred Redoblado
• Redondo Orthopedic Physical Therapy

• Clinical Social Worker in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.