Priscilla Anne Kiessig, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

87229 Issued in CA

Practice address

5955 Capistrano Ave Ste G
Atascadero, CA 93422-7227

Phone

(805) 400-3076

NPI assigned

Feb 26, 2019

Last updated

Feb 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1619434644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 TESSA CT",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934653608",
            "telephone_number": "805-400-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 CAPISTRANO AVE STE G",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227227",
            "telephone_number": "805-400-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESSIG",
        "first_name": "PRISCILLA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "87229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Eugene Kerce, N.P.
• Janet Kershaw-McLennan, M.D.
• Christopher Kertzman
• Darrow Khosh-Chashm, M.D.
• Homan Kian, M.D.
• Stephanie Killen
• Sungshim Kim-Robinson
• Kory Kindle, PT
• Jacqueline King, PSY.D.
• Makenzie Lauren Kingsley

• Clinical Social Worker in Atascadero, CA
• Providers in Atascadero, 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 Feb 26, 2019; 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.