Individual provider Active NPI

Kaelly Arellano-Bendana

  • Clinical Social Worker
  • Sherman Oaks, CA
National Provider Identifier
1306249214
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW92593 Issued in CA
Practice address
15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-5812
Phone
(760) 668-5869
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW72799 CA
Clinical Social Worker 1041C0700X 92593 CA
Clinical Social Worker 1041C0700X LCSW92593 CA Primary

Addresses

Primary practice location

15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-5812

Mailing address

15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-5812
Phone (760) 668-5869

Other names 1

  • Kaelly Arellano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 16, 2020 through May 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
92593CAMDClinical Social Worker
ASW72799CAMDClinical Social Worker
LCSW92593CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
K and B Therapy, Licensed Clinical Social Worker, Inc. Clinical Current Accepting new patients

Locations

15300 Ventura Blvd
Ste 509
Sherman Oaks, CA 91403
Phone (310) 893-4634

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": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1306249214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD STE 509",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035812",
            "telephone_number": "760-668-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD STE 509",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035812",
            "telephone_number": "760-668-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO-BENDANA",
        "first_name": "KAELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW72799",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92593",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW92593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAELLY",
            "last_name": "ARELLANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.