Individual provider Active NPI

Kelsey L Barbieri, LCSW

  • Clinical Social Worker
  • Chula Vista, CA
National Provider Identifier
1144626417
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-18501 Issued in AZ
Practice address
1741 Eastlake Pkwy Ste 102-122
Chula Vista, CA 91915-2032
Phone
(760) 454-7244
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0096739 VT
Clinical Social Worker 1041C0700X LCSW-1251 WY
Clinical Social Worker 1041C0700X 8773-C NV
Clinical Social Worker 1041C0700X 71394 CA
Clinical Social Worker 1041C0700X LCSW-18501 AZ Primary

Addresses

Primary practice location

1741 Eastlake Pkwy Ste 102-122
Chula Vista, CA 91915-2032

Mailing address

1741 Eastlake Pkwy Ste 102-122
Chula Vista, CA 91915-2032
Phone (760) 454-7244

Other practice location 1

7011 Linda Vista Rd.
San Diego, CA 92111-6307
Phone (858) 810-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-18501AZMDClinical Social Worker
8773-CNVMDClinical Social Worker
089.0096739VTMDClinical Social Worker
LCSW-1251WYMDClinical Social Worker
71394CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey Barbieri, Licensed Clinical Social Worker, a Professional Corp Clinical CurrentSince May 1, 2022 Accepting new patients

Locations

1741 Eastlake Pkwy
Ste 102122
Chula Vista, CA 91915
Phone (310) 439-9923

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1144626417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 EASTLAKE PKWY STE 102-122",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152032",
            "telephone_number": "760-454-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 EASTLAKE PKWY STE 102-122",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152032",
            "telephone_number": "760-454-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7011 Linda Vista Rd.",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921116307",
            "country_code": "US",
            "telephone_number": "858-810-8787",
            "fax_number": "858-987-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBIERI",
        "first_name": "KELSEY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0096739",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1251",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8773-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.