Kathleen Burrell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW83066 Issued in CA

Practice address

4955 Alta St
Simi Valley, CA 93063-2452

Phone

(805) 539-5403

Fax

(818) 376-0044

NPI assigned

May 24, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guiding Our Youth

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Simi Valley, CA
  • NPI 1124605126
  NPD (past)
• Valencia Relationship Institute

  • Marriage & Family Therapist
  • Simi Valley, CA
  • NPI 1740055417

  Rehabilitation Practitioner

  NPD (past)

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1124430129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 ALTA ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632452",
            "telephone_number": "805-539-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 ALTA ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632452",
            "telephone_number": "805-539-5403",
            "fax_number": "818-376-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2136 Cutler St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654923",
            "country_code": "US",
            "telephone_number": "805-527-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1672 Casarin Ave",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654515",
            "country_code": "US",
            "telephone_number": "805-522-7891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "KATHLEEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-24",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW83066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Espiritu Buenaventura, COTA
• Building Strong Minds
• Maria Daniela Burbano Pimentle, PHYSICIAN ASSISTANT
• Lorraine Burke, MS, RD
• Cindy Diane Burkhart, CFM
• Kyra Rose Burrows
• Cheryl Jayne Bushart
• Jun Li Sharon Cai, DO
• Khristina Caldarelli, PA-C
• Jolie Caldwell Ker, MT

• Clinical Social Worker in Simi Valley, CA
• Providers in Simi Valley, 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 Jul 15, 2024; 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.