Individual provider Active NPI

Kaelyn Doyle, CADC-II (CA)

  • Clinical Social Worker
  • Hemet, CA
National Provider Identifier
1194414516
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
136054 Issued in CA
Practice address
371 N Weston PL
Hemet, CA 92543-3006
Phone
(951) 791-4083
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 136054 CA Primary

Addresses

Primary practice location

371 N Weston PL
Hemet, CA 92543-3006

Mailing address

PO Box 1265
Rialto, CA 92377-1265
Phone (909) 747-2529

Other practice location 1

993 S Date Ave
Rialto, CA 92376-7626
Phone (909) 747-2529

Other practice location 2

720 Carnegie Dr Ste 120
San Bernardino, CA 92408-3516
Phone (909) 763-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319000272 CA Practitioner - Clinical Social Worker 7911481841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
136054CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Feb 6, 2026 Accepting new patients

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1194414516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1265",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923771265",
            "telephone_number": "909-747-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 N WESTON PL",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433006",
            "telephone_number": "951-791-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "993 S Date Ave",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923767626",
            "country_code": "US",
            "telephone_number": "909-747-2529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Carnegie Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083516",
            "country_code": "US",
            "telephone_number": "909-763-2234",
            "fax_number": "909-763-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "KAELYN",
        "credential": "CADC-II (CA)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "136054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.