Brooke Kahly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

84367 Issued in CA

Practice address

215 W Madison Ave
El Cajon, CA 92020-3405

Phone

(619) 401-6236

NPI assigned

Apr 19, 2019

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neighborhood Healthcare

  dba Neighborhood Healthcare - Escondido

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647
  Medicare reassignment
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Ray M Dickinson Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1437335353
  NPD (past)

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1649833120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203405",
            "telephone_number": "619-401-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203405",
            "telephone_number": "619-401-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLY",
        "first_name": "BROOKE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "84367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hala Kadhem
• Miriam Kadinger, VN251599
• Rand Kadokana
• Khaley Lu Kaesser
• Elizabeth Wairimu Kaguchia, LVN
• Kaiser Foundation Health Plan Inc
• Alexander Kaivan, COUNSOLER
• Rasha Kako, MD
• Ethar Kakoz
• Sarah Kala

• Clinical Social Worker in El Cajon, CA
• Providers in El Cajon, 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 Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.