Adrienne Kwapien Kijak, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24579 Issued in CA

Practice address

219 N Indian Hill Blvd
Suite 202a
Claremont, CA 91711-4644

Phone

(818) 468-9198

Fax

(818) 468-9198

NPI assigned

Apr 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1184941775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 W 10TH ST",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113616",
            "telephone_number": "818-468-9198",
            "fax_number": "213-341-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N INDIAN HILL BLVD",
            "address_2": "SUITE 202A",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114644",
            "telephone_number": "818-468-9198",
            "fax_number": "818-468-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIJAK",
        "first_name": "ADRIENNE",
        "middle_name": "KWAPIEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "ART THERAPIST: 05640",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "24579",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149-00-5134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee C Kavanagh, M.S.W., LCSW, PPSC
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• Simone Kim, RN
• Anna King, LCSW
• Kathleen Anne King, NP

• Social Worker in Claremont, CA
• Providers in Claremont, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.