Active NPI
Kailey McHale Raines
- Clinical Social Worker
- Murrieta, CA
National Provider Identifier
1588276604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 122964
- Practice address
- 41680 Ivy St Ste D
Murrieta, CA 92562-9435 - Phone
- (619) 549-0329
- NPI assigned
- Aug 19, 2020
- Last updated
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 122964 | CA | Primary |
Addresses
Primary practice location
41680 Ivy St Ste D
Murrieta, CA 92562-9435
Mailing address
41680 Ivy St Ste D
Murrieta, CA 92562-9435
Phone (619) 549-0329
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122964 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Through Life Counseling, Inc. | Clinical | Current | Accepting new patients |
| New Alternatives, Incorporated | Past | Accepting new patients |
Locations
41680 Ivy St
Ste D
Murrieta, CA 92562
Phone 6195490329 ext. 724
Organizations & group practices 2
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.
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- NPI 1801385745
Clinical
-
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- San Diego, CA
- NPI 1023221470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1588276604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41680 IVY ST STE D",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629435",
"telephone_number": "619-549-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41680 IVY ST STE D",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629435",
"telephone_number": "619-549-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "KAILEY",
"middle_name": "MCHALE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "122964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.