Kelli Marie Castro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27968 Issued in CA

Practice address

6455 Coldwater Canyon Ave
Valley Glen, CA 91606-1112

Phone

(818) 482-9588

Fax

(818) 623-6335

NPI assigned

Dec 8, 2010

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.

• The Help Group Child and Family Center

  • Community/Behavioral Health Agency
  • North Hollywood, CA
  • NPI 1720112188
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1154624435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 COLDWATER CANYON AVE",
            "city": "VALLEY GLEN",
            "state": "CA",
            "postal_code": "916061112",
            "telephone_number": "818-482-9588",
            "fax_number": "818-623-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 COLDWATER CANYON AVE",
            "city": "VALLEY GLEN",
            "state": "CA",
            "postal_code": "916061112",
            "telephone_number": "818-482-9588",
            "fax_number": "818-623-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Aponte
• Archwood House CLHF, Inc.
• Suzy Arevyan
• Arise and Shine Senior Care Residence
• Jack Bendavid, D.C.
• James R Dubensky
• Eleve' Care Inc.
• Karen Chicca Enyedy, PH.D.
• Rachel Joyce Dilla Felipe
• Janiese L Finney, RN, BSN, PHN

• Clinical Social Worker in Valley Glen, CA
• Providers in Valley Glen, 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 Aug 16, 2012; 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.