David William McLeod Kerrigan, MSW, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60504 Issued in CA

Practice address

950 County Square Dr
Suite 107
Ventura, CA 93003-5410

Phone

(805) 794-3165

NPI assigned

Sep 16, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: david.kerrigan.p1@direct.clinicas.nextgenshare.com

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1336457035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COUNTY SQUARE DR",
            "address_2": "SUITE 107",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035410",
            "telephone_number": "805-794-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COUNTY SQUARE DR",
            "address_2": "SUITE 107",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035410",
            "telephone_number": "805-794-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERRIGAN",
        "first_name": "DAVID",
        "middle_name": "WILLIAM MCLEOD",
        "credential": "MSW, PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "60504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "12227828",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kylie Taylor Keyser, BA

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, 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 Jul 10, 2015; 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.