Organization Active NPI

Kayti McDaniel Therapy, a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Newark, CA
National Provider Identifier
1083371306
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KAYTI MCDANIEL THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
39899 Balentine Drive
Suite 200
Newark, CA 94560
Phone
(831) 205-7893
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Mrs. Kayti McDaniel, LCSW
Title
President
Phone
(831) 205-7893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

39899 Balentine Drive
Suite 200
Newark, CA 94560

Mailing address

820 Park Row
Suite 483
Salinas, CA 93901
Phone (831) 205-7893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1083371306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PARK ROW",
            "address_2": "SUITE 483",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-205-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DRIVE",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "94560",
            "telephone_number": "831-205-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYTI MCDANIEL THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KAYTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-205-7893",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.