Individual provider Active NPI

Kerry Leah McKee, LCSW

  • Clinical Social Worker
  • Berkeley, CA
National Provider Identifier
1518034974
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24979 Issued in CA
Practice address
3021 Telegraph Ave Ste C
Berkeley, CA 94705-2072
Phone
(510) 221-3183
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24979 CA Primary

Addresses

Primary practice location

3021 Telegraph Ave Ste C
Berkeley, CA 94705-2072

Mailing address

3021 Telegraph Ave Ste C
Berkeley, CA 94705-2072
Phone (510) 221-3183

Other practice location 1

760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 26, 2023 through Dec 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24979CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1518034974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 TELEGRAPH AVE STE C",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052072",
            "telephone_number": "510-221-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 TELEGRAPH AVE STE C",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052072",
            "telephone_number": "510-221-3183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Harrison St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941071235",
            "country_code": "US",
            "telephone_number": "415-836-1758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "KERRY",
        "middle_name": "LEAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.