Kelly McCann Earls, LCSW, MPH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

71904 Issued in CA

Practice address

58 Paulding St
San Francisco, CA 94112-2440

Phone

(860) 463-4327

NPI assigned

Apr 15, 2021

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

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1205417995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PAULDING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122440",
            "telephone_number": "860-463-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PAULDING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122440",
            "telephone_number": "860-463-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLS",
        "first_name": "KELLY",
        "middle_name": "MCCANN",
        "credential": "LCSW, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latanya Alexus Earby, BA
• Earl L. Stern M.D., Inc
• Sebastian Earl, LMFT
• Chrislyn Yvonne-Renee Earle
• Karen E. Earle, MD
• Margaret Earls, PSYD
• Bonnie Early, PA-C
• Heather Marie Early, MD
• Nissa Early
• Carly Earnshaw, MFT

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, 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, 2021; 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.