Kelly Kalalau, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60893806 Issued in WA

Practice address

3516 S 47TH St Ste 203
Tacoma, WA 98409-4475

Phone

(253) 572-7888

Fax

(253) 572-7727

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By 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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olive Crest

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1508491697
  NPD

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1497364582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 S 47TH ST STE 203",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094475",
            "telephone_number": "253-572-7888",
            "fax_number": "253-572-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 S 47TH ST STE 203",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094475",
            "telephone_number": "253-572-7888",
            "fax_number": "253-572-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALALAU",
        "first_name": "KELLY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60893806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW-A",
            "identifier": "60893806",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tacoma",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Tacoma",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tacoma",
            "address_1": "3516 S 47th St Ste 203",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984094475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alina Kaiser
• Jackie Marie Kaiser, CNA
• Debra Kay Kaitschuck, MC
• Juliet Christina Kajca, RN
• Sunil K Kakar, PHD
• Derek Kalb, DPT
• Roy Norman Kaldestad, DDS
• Nicole Kaley
• Matthew Alan Kalis, RN
• Melissa Maria Kalis, NURSE

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.