Kristen McQuary, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS29229 Issued in CA

Practice address

25 Cadillac Dr
Suite 212
Sacramento, CA 95825-8349

Phone

(916) 671-9029

Fax

(916) 979-6110

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen Marie Peeler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1710991567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 YARNELL WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587117",
            "telephone_number": "916-671-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CADILLAC DR",
            "address_2": "SUITE 212",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258349",
            "telephone_number": "916-671-9029",
            "fax_number": "916-979-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUARY",
        "first_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW 17045",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS29229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "PEELER",
            "middle_name": "MARIE",
            "credential": "ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Rae McPherson, RD
• Curtes McPherson
• Jarvis McPherson
• SE'Ahnna Patience McPipe
• Shawn P McQuaid, PHARMD
• Faith McQueen
• Kenya McQueen
• Renee D McRae
• Marissa L McRay, M.A., CCC-SLP
• Stephanie Denise McVea, PH.D.

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, 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 Jan 5, 2016; 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.