Individual provider Active NPI

Krysten Hendrickson

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1093328635
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone
(619) 609-8627
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 Primary

Addresses

Primary practice location

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301

Mailing address

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone (619) 609-8627

Other practice location 1

3355 Mission Ave Ste 237
Oceanside, CA 92058-1322
Phone (442) 888-5813

Other practice location 2

3605 Vista Way Ste 258
Oceanside, CA 92056-4565
Phone (760) 758-1480 ext. 25520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1093328635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17701 SAN PASQUAL VALLEY RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255301",
            "telephone_number": "619-609-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17701 SAN PASQUAL VALLEY RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255301",
            "telephone_number": "619-609-8627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Mission Ave Ste 237",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920581322",
            "country_code": "US",
            "telephone_number": "442-888-5813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 Vista Way Ste 258",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564565",
            "country_code": "US",
            "telephone_number": "760-758-1480 x25520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "KRYSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.