Individual provider Active NPI

Kenia Valdovinos, LCSW

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1699340760
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100986 Issued in CA
Practice address
425 N Date St Ste 219
Escondido, CA 92025-3413
Phone
(833) 867-4642
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 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 100986 CA Primary

Addresses

Primary practice location

425 N Date St Ste 219
Escondido, CA 92025-3413

Mailing address

740 Casa Real CT
Vista, CA 92083-3407
Phone (760) 585-5378

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
I20221005001016 CA Practitioner - Clinical Social Worker 4981080553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100986CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Jan 27, 2025 Accepting new patients
Neighborhood Healthcare CurrentSince Jan 27, 2025 Accepting new patients
Neighborhood Healthcare Past Accepting new patients
Neighborhood Healthcare Past Accepting new patients
Neighborhood Healthcare Past Accepting new patients

Locations

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
Ste 219
Escondido, CA 92025

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

460 N Elm St
Escondido, CA 92025
Phone (760) 520-8100

215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833

425 N Date St
#0
Escondido, CA 92025

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1699340760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CASA REAL CT",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920833407",
            "telephone_number": "760-585-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N DATE ST STE 219",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDOVINOS",
        "first_name": "KENIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.