Individual provider Active NPI

Kelsey Donohue-Malatesta

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1679477764
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
139883 Issued in CA
Practice address
7676 Hazard Center Dr Ste 340
San Diego, CA 92108-4543
Phone
(858) 750-7379
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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 139883 CA Primary

Addresses

Primary practice location

7676 Hazard Center Dr Ste 340
San Diego, CA 92108-4543

Mailing address

4755 Wilson Ave Apt 2
San Diego, CA 92116-2444
Phone (610) 533-0121

Other names 1

  • Kelsey Donohue Professional name

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1679477764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 WILSON AVE APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162444",
            "telephone_number": "610-533-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 HAZARD CENTER DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084543",
            "telephone_number": "858-750-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE-MALATESTA",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "139883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "DONOHUE",
            "credential": "LMSW/ASW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.