Kelsie Maguire, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010920 Issued in VA

Practice address

2339 Palomira CT
Chula Vista, CA 91915-1239

Phone

(810) 240-8502

NPI assigned

May 21, 2019

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsie Weidenhammer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1336706811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 PALOMIRA CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151239",
            "telephone_number": "810-240-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 PALOMIRA CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151239",
            "telephone_number": "810-240-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "KELSIE",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSIE",
            "last_name": "WEIDENHAMMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guadalupe Magallanes
• Mariela Magana Ceballos, DO
• Raya Rose Milam Magana
• Krystal Magdaleno
• Monica E Maghiar, DDS
• Suzan Qusay Mahdai, M.D.
• Rosamaria Mahi, SUDCC II
• Kevin Charles Mahoney, SLP
• Vang Kim Mai, PHARM.D
• Mariah Mair

• Clinical Social Worker in Chula Vista, CA
• Providers in Chula Vista, 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 Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.