Active NPI
Kimberly Sue Israel
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1205556743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21662
- Practice address
- 9259 Fostoria CT
San Diego, CA 92127-2613 - Phone
- (619) 665-8267
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21662 | CA | Primary |
| School Social Worker | 1041S0200X |
Addresses
Primary practice location
9259 Fostoria CT
San Diego, CA 92127-2613
Mailing address
9259 Fostoria CT
San Diego, CA 92127-2613
Phone (619) 665-8267
Other practice location 1
9320 Carmel Mountain Rd
San Diego, CA 92129-2159
Phone (619) 320-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Israel, a Licensed Clinical Social Worker Professional Corporation | Clinical | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Awespired Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1942184734
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1205556743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9259 FOSTORIA CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921272613",
"telephone_number": "619-665-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9259 FOSTORIA CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921272613",
"telephone_number": "619-665-8267"
}
],
"practiceLocations": [
{
"address_1": "9320 Carmel Mountain Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921292159",
"country_code": "US",
"telephone_number": "619-320-8222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISRAEL",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "21662",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.