Kirsten Badre, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111206 Issued in CA

Practice address

2333 Camino del Rio S Ste 160
San Diego, CA 92108-3617

Phone

(619) 798-6106

NPI assigned

Oct 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1730806225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 ADAMS AVE # 103-211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162592",
            "telephone_number": "859-608-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S STE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083617",
            "telephone_number": "619-798-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRE",
        "first_name": "KIRSTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "111206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Eugenia Badillo, B.S.
• Nicole Angela Escano Badillo
• Vincente Badillo
• Nicole Badiola
• Badis Therapy LMFT Inc
• Nicolas Badre, M.D.
• Mark John Badria
• Jessica Baduqui
• Harjit Harry Singh Badyal, DPM
• Grace Sung Mee Bae

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Oct 25, 2022; 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.