Active NPI
Kathryn Emsiek
- Clinical Social Worker
- Anaheim, CA
National Provider Identifier
1275100240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5241 E Santa Ana Canyon Rd Ste 132
Anaheim, CA 92807-3744 - Phone
- (657) 234-7535
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5241 E Santa Ana Canyon Rd Ste 132
Anaheim, CA 92807-3744
Mailing address
5406 Camino Mojado
San Clemente, CA 92673-7117
Other practice location 1
616 S El Camino Real Ste G15
San Clemente, CA 92672-4294
Phone (949) 445-1277
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1275100240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5406 CAMINO MOJADO",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926737117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5241 E SANTA ANA CANYON RD STE 132",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073744",
"telephone_number": "657-234-7535"
}
],
"practiceLocations": [
{
"address_1": "616 S El Camino Real Ste G15",
"address_purpose": "LOCATION",
"city": "San Clemente",
"state": "CA",
"postal_code": "926724294",
"country_code": "US",
"telephone_number": "949-445-1277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMSIEK",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.