Individual provider Active NPI

Kristen Renee Flores, LCSW

  • Clinical Social Worker
  • Claremont, CA
National Provider Identifier
1679128755
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113480 Issued in CA
Practice address
675 W Foothill Blvd Ste 200
Claremont, CA 91711-3475
Phone
(925) 282-1778
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 113480 CA Primary

Addresses

Primary practice location

675 W Foothill Blvd Ste 200
Claremont, CA 91711-3475

Mailing address

675 W Foothill Blvd Ste 200
Claremont, CA 91711-3475
Phone (925) 282-1778

Other practice location 1

1520 N Raymond Ave
BLDG 2-7
Pasadena, CA 91103-9110
Phone (626) 396-5920

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250512001316 CA Practitioner - Clinical Social Worker 7810414927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

675 W Foothill Blvd
Suite 200
Claremont, CA 91711-3475
Phone (925) 282-1778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113480CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince May 3, 2025 Accepting new patients
Pasadena Unified School District CurrentSince Aug 1, 2020 Accepting new patients
Olive Crest PastSince Aug 1, 2019 Accepting new patients

Locations

675 W Foothill Blvd
Ste 200
Claremont, CA 91711
Phone (909) 278-2590

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

1520 N Raymond Ave
Bldg 27
Pasadena, CA 91103
Phone (626) 396-5920

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1679128755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W FOOTHILL BLVD STE 200",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113475",
            "telephone_number": "925-282-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W FOOTHILL BLVD STE 200",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113475",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Raymond Ave",
            "address_2": "BLDG 2-7",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911039110",
            "country_code": "US",
            "telephone_number": "626-396-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.