Elizabeth M Kearney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

72494 Issued in CA

Practice address

301 9TH St # 100.164
Redlands, CA 92374-4412

Phone

(951) 415-3462

NPI assigned

Dec 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1649548959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 9TH ST # 100.164",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744412",
            "telephone_number": "951-415-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 9TH ST # 100.164",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744412",
            "telephone_number": "951-415-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 30584",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "72494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Karras, MSPAS, PA-C
• Kyle C Kasner
• Alex Ali Kasraie, MD
• Siamak Kazemi, D.O.
• Cristina Kazzi
• Rachael Lynn Keast, DPT
• Brielle Nicole Keaton
• Sahara Marie Keaton
• Kelsey Kellar, PT, DPT
• Shannon Ruth Kelleher, MSW

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, 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 28, 2023; 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.