Individual provider Active NPI

Katelyn Aby

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1669354957
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW128808 Issued in CA
Practice address
2655 Camino del Rio N Ste 450
San Diego, CA 92108-1603
Phone
(858) 633-4115
NPI assigned
Jul 25, 2025
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW128808 CA Primary

Addresses

Primary practice location

2655 Camino del Rio N Ste 450
San Diego, CA 92108-1603

Mailing address

2655 Camino del Rio N Ste 450
San Diego, CA 92108-1603
Phone (858) 633-4115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW128808CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Center for Children CurrentSince Jul 28, 2025 Accepting new patients

Locations

2655 Camino del Rio N
Ste 450
San Diego, CA 92108
Phone (619) 455-8622

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1669354957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 CAMINO DEL RIO N STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081603",
            "telephone_number": "858-633-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 CAMINO DEL RIO N STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081603",
            "telephone_number": "858-633-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABY",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW128808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.