Kelsie Keating, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69536 Issued in CA

Practice address

9479 Haven Ave
Rancho Cucamonga, CA 91730-5844

Phone

(909) 771-8023

NPI assigned

Aug 14, 2011

Last updated

Aug 4, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Recovery and Wellness Center of Eastern Washington

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richland, WA
  • NPI 1750751699
  NPD
• The Woodlands Recovery and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • The Woodlands, TX
  • NPI 1497278998
  NPD

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1649559295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9479 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305844",
            "telephone_number": "909-771-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305844",
            "telephone_number": "909-771-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26113 Oak Ridge Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773803493",
            "country_code": "US",
            "telephone_number": "713-897-9989",
            "fax_number": "888-787-9709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26203 Oak Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773801960",
            "country_code": "US",
            "telephone_number": "713-897-9989",
            "fax_number": "888-787-9709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26113 Oak Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773802599",
            "country_code": "US",
            "telephone_number": "713-897-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "KELSIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-14",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63307",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "69536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Sky Kayachith
• Lana Kayal
• Traviana Kazee, ED.S
• KB Precision Inc.
• KCT Psychotherapy & Consulting
• Kayla Keeling, RBT
• Blake Clete Keen, DDS
• Rachel Joy Keener
• John Kelleher
• Demetri Rashad Kelley

• Clinical Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Aug 4, 2025; 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.