Anneliese Kindem, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115283 Issued in CA

Practice address

2975 McMillan Ave Ste 160
San Luis Obispo, CA 93401-6768

Phone

(805) 781-4737

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• County of San Luis Obispo

  • Adolescent and Children Mental Health Clinic/Center
  • San Luis Obispo, CA
  • NPI 1396803870
  NPD
• County of San Luis Obispo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arroyo Grande, CA
  • NPI 1932563053
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1154084143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 DALIDIO DR",
            "address_2": "P.O. BOX 4641",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011000",
            "telephone_number": "818-429-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 MCMILLAN AVE STE 160",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016768",
            "telephone_number": "805-781-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDEM",
        "first_name": "ANNELIESE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Serrao Kim, LMFT
• Sherri Lynn Kimbell, M.A., L.P.C., PHDC
• Kimberly Miller, LMFT, Inc.
• Melinda Katrine-Marcellus Kincaid, MA., LMFT
• Erica Kincannon
• Courtney Kay Kinder, MS, RDN, IFNCP
• Catherine Alexis King
• Rachel Lynn King
• William King
• Michael Kington

• Clinical Social Worker in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 Apr 15, 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.