Kelly Danae Warner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20697 Issued in CA

Practice address

439 N Canon Dr Ste 209
Beverly Hills, CA 90210-4897

Phone

(310) 271-9999

NPI assigned

Mar 9, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1619009396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 RIGOLETTO ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642816",
            "telephone_number": "818-486-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 N CANON DR STE 209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104897",
            "telephone_number": "310-271-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "KELLY",
        "middle_name": "DANAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Waltrip, M.D.,
• Carrie M. Wambach, M.D.
• Benjamin Y Wang, MD
• Crystal Shih-Yuh Wang, B.S., MS-DPT
• Omeed Warej, M.D.
• Warren L. Roston MD - a Professional Corporation
• Warren M. Lent MD Inc
• Kenneth J Washenik, M.D.
• Leslie Washington
• Theressia Louise Washington, M.D., M.S., FAAFP

• Clinical Social Worker in Beverly Hills, CA
• Providers in Beverly Hills, 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 Dec 23, 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.