Active NPI
Kelly Jacqueline Hull, MSW
- Social Worker
- West Hills, CA
National Provider Identifier
1508093758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 23837 Welby Way
West Hills, CA 91307-3014 - Phone
- (818) 497-7891
- NPI assigned
- Jun 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
23837 Welby Way
West Hills, CA 91307-3014
Mailing address
23837 Welby Way
West Hills, CA 91307-3014
Phone (818) 497-7891
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darrell Broaddus Psychological Services PC | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Orangevale, CA
- NPI 1215339650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1508093758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23837 WELBY WAY",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913073014",
"telephone_number": "818-497-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23837 WELBY WAY",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913073014",
"telephone_number": "818-497-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "KELLY",
"middle_name": "JACQUELINE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.