Lauren Melissa Kern, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS26744 Issued in CA

Practice address

2250 4TH Ave
Suite 301
San Diego, CA 92101-2124

Phone

(619) 525-9903

Fax

(619) 525-9908

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• San Diego Youth Services

  • Voluntary or Charitable Agency
  • San Diego, CA
  • NPI 1366651366
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1235234725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 4TH AVE",
            "address_2": "SUITE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012124",
            "telephone_number": "619-525-9903",
            "fax_number": "619-525-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 4TH AVE",
            "address_2": "SUITE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012124",
            "telephone_number": "619-525-9903",
            "fax_number": "619-525-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "LAUREN",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW20076",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Suzanne Kermorris
• Sequoia Kermott
• Alyssa Ann Kern
• Josephine Kern
• Kenneth Alan Kern, MD
• Leah D Kern, M.D.
• Samantha Kern
• Caroline Kernan
• Rebecca Kernan
• Micah Charles Kerney, MD

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Sep 7, 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.