Individual provider Active NPI

Emily Kerr, LCSW

  • Clinical Social Worker
  • Laguna Hills, CA
National Provider Identifier
1063565521
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11067 Issued in CA
Practice address
25283 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5522
Phone
(949) 496-3757
Fax
(949) 496-3757
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS11067 CA Primary

Addresses

Primary practice location

25283 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5522

Mailing address

7 Hancock St
Laguna Niguel, CA 92677-4709
Phone (949) 496-3757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513001960 CA Practitioner - Clinical Social Worker 4789952680 Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS11067CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063565521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HANCOCK ST",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774709",
            "telephone_number": "949-496-3757",
            "fax_number": "949-496-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25283 CABOT RD",
            "address_2": "SUITE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535522",
            "telephone_number": "949-496-3757",
            "fax_number": "949-496-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.